Provider Demographics
NPI:1508164880
Name:ALIZADEH, SHEILA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:ALIZADEH
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 1:5750 BOU AVE
Mailing Address - Street 2:606
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1645
Mailing Address - Country:US
Mailing Address - Phone:240-731-2813
Mailing Address - Fax:301-948-0018
Practice Address - Street 1:5750 BOU AVE
Practice Address - Street 2:606
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1645
Practice Address - Country:US
Practice Address - Phone:240-731-2813
Practice Address - Fax:301-948-0018
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17034183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist