Provider Demographics
NPI:1760054571
Name:SHERWANI, SALEHA ANJUM
Entity Type:Individual
Prefix:
First Name:SALEHA
Middle Name:ANJUM
Last Name:SHERWANI
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 1:1780 S FRIENDSWOOD DR STE A
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5410
Mailing Address - Country:US
Mailing Address - Phone:281-992-0038
Mailing Address - Fax:
Practice Address - Street 1:1780 S FRIENDSWOOD DR STE A
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5410
Practice Address - Country:US
Practice Address - Phone:281-992-0038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2022-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37310122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist