Provider Demographics
NPI:1811403090
Name:KAPASI, SHAHIN
Entity Type:Individual
Prefix:
First Name:SHAHIN
Middle Name:
Last Name:KAPASI
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 1:104 KELOY ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-2418
Mailing Address - Country:US
Mailing Address - Phone:864-586-0334
Mailing Address - Fax:
Practice Address - Street 1:8951 VALLEY FALLS RD
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29316-5349
Practice Address - Country:US
Practice Address - Phone:864-587-3730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-24
Last Update Date:2017-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37524183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist