Provider Demographics
NPI:1922552538
Name:NANDWANI, SHARINA
Entity Type:Individual
Prefix:
First Name:SHARINA
Middle Name:
Last Name:NANDWANI
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 1:218 N CHARLES ST
Mailing Address - Street 2:APT 1412
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-4021
Mailing Address - Country:US
Mailing Address - Phone:407-353-5900
Mailing Address - Fax:
Practice Address - Street 1:161 BIG ELK MALL
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-5912
Practice Address - Country:US
Practice Address - Phone:410-392-6315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24332183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist