Provider Demographics
NPI:1891399804
Name:DADPOR, SHAFIULLAH (RPH)
Entity Type:Individual
Prefix:
First Name:SHAFIULLAH
Middle Name:
Last Name:DADPOR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 BUSTLETON AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-3818
Mailing Address - Country:US
Mailing Address - Phone:215-342-1091
Mailing Address - Fax:
Practice Address - Street 1:7720 BUSTLETON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-3818
Practice Address - Country:US
Practice Address - Phone:215-342-1091
Practice Address - Fax:215-342-8234
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP450931183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist