Provider Demographics
NPI:1972271419
Name:SHEIKH, TEHSINABANU S (PHARMD)
Entity Type:Individual
Prefix:
First Name:TEHSINABANU
Middle Name:S
Last Name:SHEIKH
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 1:435 E LIVE OAK AVE APT 104
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-5648
Mailing Address - Country:US
Mailing Address - Phone:626-234-6382
Mailing Address - Fax:
Practice Address - Street 1:435 E LIVE OAK AVE APT 104
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-5648
Practice Address - Country:US
Practice Address - Phone:626-234-6382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82914183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist