Provider Demographics
NPI:1609156785
Name:ALRUSHAID, SHARIFAH (BDSC)
Entity Type:Individual
Prefix:DR
First Name:SHARIFAH
Middle Name:
Last Name:ALRUSHAID
Suffix:
Gender:F
Credentials:BDSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 REPUBLIC DR
Mailing Address - Street 2:APT # 115
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-5440
Mailing Address - Country:US
Mailing Address - Phone:860-796-9490
Mailing Address - Fax:
Practice Address - Street 1:263 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-0001
Practice Address - Country:US
Practice Address - Phone:860-679-2574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program