Provider Demographics
NPI:1942751607
Name:MANN, RIDHIMA (PHARMD)
Entity Type:Individual
Prefix:
First Name:RIDHIMA
Middle Name:
Last Name:MANN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:RIDHIMA
Other - Middle Name:
Other - Last Name:NAIDU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9008 COBBLE CREST DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-9226
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10540 WHITE ROCK RD STE 280
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-6094
Practice Address - Country:US
Practice Address - Phone:916-463-9893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-18
Last Update Date:2019-05-29
Deactivation Date:2018-11-14
Deactivation Code:
Reactivation Date:2019-05-29
Provider Licenses
StateLicense IDTaxonomies
CA75051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist