Provider Demographics
NPI:1861853616
Name:SHAIK, ZABEENA P
Entity Type:Individual
Prefix:
First Name:ZABEENA
Middle Name:P
Last Name:SHAIK
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 1:728 E PULASKI HWY
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-6029
Mailing Address - Country:US
Mailing Address - Phone:410-398-9595
Mailing Address - Fax:
Practice Address - Street 1:728 E PULASKI HWY
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-6029
Practice Address - Country:US
Practice Address - Phone:410-398-9595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-08
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21857183500000X
DEA1-0004461183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist