Provider Demographics
NPI:1104256965
Name:SHEIKHI, HOOSHANG (RPH)
Entity type:Individual
Prefix:MR
First Name:HOOSHANG
Middle Name:
Last Name:SHEIKHI
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 1:3658 WINDSONG CT
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5483
Mailing Address - Country:US
Mailing Address - Phone:440-263-0882
Mailing Address - Fax:440-249-6116
Practice Address - Street 1:3658 WINDSONG CT
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5483
Practice Address - Country:US
Practice Address - Phone:440-263-0882
Practice Address - Fax:440-249-6116
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03116036183500000X
MN114161183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist