Provider Demographics
NPI:1326641945
Name:CHUGHTAI, SAANIA
Entity Type:Individual
Prefix:
First Name:SAANIA
Middle Name:
Last Name:CHUGHTAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 HOLSTEIN DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-2973
Mailing Address - Country:US
Mailing Address - Phone:215-380-2995
Mailing Address - Fax:
Practice Address - Street 1:7350 OXFORD AVE STE C
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-3021
Practice Address - Country:US
Practice Address - Phone:215-342-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441064183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist