Provider Demographics
NPI:1720334709
Name:TASSEFF, SAIDA SHAIKH (PHARMD)
Entity Type:Individual
Prefix:
First Name:SAIDA
Middle Name:SHAIKH
Last Name:TASSEFF
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 1:100 4TH ST SW APT 219
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-3856
Mailing Address - Country:US
Mailing Address - Phone:248-890-9668
Mailing Address - Fax:
Practice Address - Street 1:4151 4TH ST SW
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-7346
Practice Address - Country:US
Practice Address - Phone:641-423-6727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302041176183500000X
IA21529183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist