Provider Demographics
NPI:1669097887
Name:SITHEP, NALINH MAVEN (PHARMD)
Entity type:Individual
Prefix:
First Name:NALINH
Middle Name:MAVEN
Last Name:SITHEP
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 1:4414 SW WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-8344
Mailing Address - Country:US
Mailing Address - Phone:515-360-8598
Mailing Address - Fax:
Practice Address - Street 1:300 IOWA SPEEDWAY DR
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-9484
Practice Address - Country:US
Practice Address - Phone:641-792-9237
Practice Address - Fax:641-792-9318
Is Sole Proprietor?:No
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20020183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist