Provider Demographics
NPI:1295210854
Name:KAZMI, SADRASHK ZEHRA (PHARMD)
Entity Type:Individual
Prefix:
First Name:SADRASHK
Middle Name:ZEHRA
Last Name:KAZMI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12310 DANIEL CIRCLE LN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1196
Mailing Address - Country:US
Mailing Address - Phone:407-617-7098
Mailing Address - Fax:
Practice Address - Street 1:232 SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-2503
Practice Address - Country:US
Practice Address - Phone:917-449-0086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-30
Last Update Date:2018-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052253183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist