Provider Demographics
NPI:1396611349
Name:ABDURAHMONOV, ABDUSATTOR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ABDUSATTOR
Middle Name:
Last Name:ABDURAHMONOV
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 HULTON RD
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-1917
Mailing Address - Country:US
Mailing Address - Phone:412-826-8303
Mailing Address - Fax:
Practice Address - Street 1:324 HULTON RD
Practice Address - Street 2:
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-1917
Practice Address - Country:US
Practice Address - Phone:412-826-8303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP459892183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist