Provider Demographics
NPI:1831656636
Name:SHAHI, PARLEEN KAUR (PHARMD)
Entity Type:Individual
Prefix:
First Name:PARLEEN
Middle Name:KAUR
Last Name:SHAHI
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 1:4588 NOVATO ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-5455
Mailing Address - Country:US
Mailing Address - Phone:510-881-6282
Mailing Address - Fax:
Practice Address - Street 1:8298 LANDER AVE
Practice Address - Street 2:
Practice Address - City:HILMAR
Practice Address - State:CA
Practice Address - Zip Code:95324-8323
Practice Address - Country:US
Practice Address - Phone:209-226-7496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79951183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist