Provider Demographics
NPI:1477980787
Name:SYED ZANARUDDIN, SHARIFAH NURSHAZWANI (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHARIFAH NURSHAZWANI
Middle Name:
Last Name:SYED ZANARUDDIN
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 1:1616 W DALLAS ST
Mailing Address - Street 2:APARTMENT 213
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-4770
Mailing Address - Country:US
Mailing Address - Phone:682-553-7933
Mailing Address - Fax:
Practice Address - Street 1:2808 GESSNER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77080-2504
Practice Address - Country:US
Practice Address - Phone:713-460-0535
Practice Address - Fax:713-460-0559
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53622183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist