Provider Demographics
NPI:1265719421
Name:SAVANI, AMISHA SHAH (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:AMISHA
Middle Name:SHAH
Last Name:SAVANI
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 1:11604 WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-3936
Mailing Address - Country:US
Mailing Address - Phone:562-695-7416
Mailing Address - Fax:562-695-7613
Practice Address - Street 1:11604 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-3936
Practice Address - Country:US
Practice Address - Phone:562-695-7416
Practice Address - Fax:562-695-7613
Is Sole Proprietor?:No
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist