Provider Demographics
NPI:1982748174
Name:SHAFI, MUHAMMAD A (RPH)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:A
Last Name:SHAFI
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 1:178 ALBANY AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-2105
Mailing Address - Country:US
Mailing Address - Phone:718-756-6061
Mailing Address - Fax:718-404-0705
Practice Address - Street 1:178 ALBANY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-2105
Practice Address - Country:US
Practice Address - Phone:718-756-6061
Practice Address - Fax:718-404-0705
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031979183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist