Provider Demographics
NPI:1013135953
Name:ABIDI, SHAHNEELA S (BPHARM)
Entity Type:Individual
Prefix:MISS
First Name:SHAHNEELA
Middle Name:S
Last Name:ABIDI
Suffix:
Gender:F
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1667 CARDINAL RDG
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48324-3421
Mailing Address - Country:US
Mailing Address - Phone:248-933-0813
Mailing Address - Fax:
Practice Address - Street 1:33330 W 12 MILE RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3311
Practice Address - Country:US
Practice Address - Phone:248-553-4050
Practice Address - Fax:246-553-3242
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302033341183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist