Provider Demographics
NPI:1770584286
Name:LADHA, AMIN RASHID (RPH)
Entity type:Individual
Prefix:MR
First Name:AMIN
Middle Name:RASHID
Last Name:LADHA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1043 HICKSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-1327
Mailing Address - Country:US
Mailing Address - Phone:516-735-2094
Mailing Address - Fax:516-735-2092
Practice Address - Street 1:1043 HICKSVILLE RD
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:NY
Practice Address - Zip Code:11783-1327
Practice Address - Country:US
Practice Address - Phone:516-735-2094
Practice Address - Fax:516-735-2092
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18074183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00833032Medicaid
NY1143730001Medicare ID - Type Unspecified