Provider Demographics
NPI:1811390123
Name:SHUAIB, AKRAM (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AKRAM
Middle Name:
Last Name:SHUAIB
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3223 70TH ST
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370-1718
Mailing Address - Country:US
Mailing Address - Phone:347-845-2325
Mailing Address - Fax:
Practice Address - Street 1:3223 70TH ST
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11370-1718
Practice Address - Country:US
Practice Address - Phone:347-845-2325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-30
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059931183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist