Sevda Abolhassanpourmaleki
Individual provider Active NPI Pharmacist · Del City, OK
NPI 1992532964 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1992532964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20657 (OK)
- Practice address
- 4129 SE 29TH St
Del City, OK 73115-2643 - Phone
- (405) 672-2180
- NPI assigned
- Sep 16, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20657 | OK | Yes |
Addresses
Primary practice location
4129 SE 29TH St
Del City, OK 73115-2643
Mailing address
4129 SE 29TH St
Del City, OK 73115-2643
Other providers in Del City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.