Provider Demographics
NPI:1437750908
Name:MORADIA, RASHMIKA
Entity Type:Individual
Prefix:DR
First Name:RASHMIKA
Middle Name:
Last Name:MORADIA
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 1:53646 BUCKINGHAM LN
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-2014
Mailing Address - Country:US
Mailing Address - Phone:937-602-5112
Mailing Address - Fax:
Practice Address - Street 1:18400 HALL RD
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-4875
Practice Address - Country:US
Practice Address - Phone:586-263-7690
Practice Address - Fax:586-263-7699
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302039018183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist