Provider Demographics
NPI:1790816403
Name:RUSHI, VEENA (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:VEENA
Middle Name:
Last Name:RUSHI
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 1:1075 PARK PL
Mailing Address - Street 2:APT. 326
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-1587
Mailing Address - Country:US
Mailing Address - Phone:650-518-1746
Mailing Address - Fax:
Practice Address - Street 1:2220 BRIDGEPOINTE PKWY
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94404-1569
Practice Address - Country:US
Practice Address - Phone:650-393-2126
Practice Address - Fax:650-393-2126
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58148183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist