Provider Demographics
NPI:1982202396
Name:ALAHMEDI, RANA SAMEER
Entity Type:Individual
Prefix:
First Name:RANA
Middle Name:SAMEER
Last Name:ALAHMEDI
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 1:2606 SOUTHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-1438
Mailing Address - Country:US
Mailing Address - Phone:414-551-1487
Mailing Address - Fax:
Practice Address - Street 1:3701 E CALUMET ST
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-4149
Practice Address - Country:US
Practice Address - Phone:920-996-0746
Practice Address - Fax:920-996-0757
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI19174-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist