Provider Demographics
NPI:1649557745
Name:SOOKHANSINGH, YATASHA
Entity Type:Individual
Prefix:DR
First Name:YATASHA
Middle Name:
Last Name:SOOKHANSINGH
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:YATASHA
Other - Middle Name:
Other - Last Name:SOOKHANSINGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:181 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4548
Mailing Address - Country:US
Mailing Address - Phone:954-472-3861
Mailing Address - Fax:
Practice Address - Street 1:181 SOUTH UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324
Practice Address - Country:US
Practice Address - Phone:954-472-3861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS39347183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist