Provider Demographics
NPI:1457879991
Name:MAKKER, NAINA RUHI (PHARMD)
Entity Type:Individual
Prefix:
First Name:NAINA
Middle Name:RUHI
Last Name:MAKKER
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 1:45452 ANTELOPE DR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-6040
Mailing Address - Country:US
Mailing Address - Phone:510-367-0868
Mailing Address - Fax:
Practice Address - Street 1:2140 CONTRA COSTA BLVD
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-3742
Practice Address - Country:US
Practice Address - Phone:925-691-0164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2017-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA71504183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist