Provider Demographics
NPI:1316221047
Name:MATROOD, HAMSA (RPH)
Entity Type:Individual
Prefix:
First Name:HAMSA
Middle Name:
Last Name:MATROOD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5956 PENN CIR S
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3823
Mailing Address - Country:US
Mailing Address - Phone:412-362-6328
Mailing Address - Fax:
Practice Address - Street 1:5956 PENN CIR S
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3823
Practice Address - Country:US
Practice Address - Phone:412-362-6328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440721183500000X
CTPCT.0009227183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist