Provider Demographics
NPI:1780920017
Name:NARAYAN, SHIELA VINAS (RPH)
Entity type:Individual
Prefix:MRS
First Name:SHIELA
Middle Name:VINAS
Last Name:NARAYAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:SHIELA
Other - Middle Name:TOSCANO
Other - Last Name:VINAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:3104 LAKE DR APT 7
Mailing Address - Street 2:
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-2838
Mailing Address - Country:US
Mailing Address - Phone:831-383-1656
Mailing Address - Fax:
Practice Address - Street 1:10140 W FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8385
Practice Address - Country:US
Practice Address - Phone:702-562-1463
Practice Address - Fax:702-562-1464
Is Sole Proprietor?:No
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18191183500000X
ORRPH-0013161183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist