Provider Demographics
NPI:1154341352
Name:DESAI, SIMA DHAYABHAI (PHARMD)
Entity type:Individual
Prefix:MS
First Name:SIMA
Middle Name:DHAYABHAI
Last Name:DESAI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8931 SAWGRASS PL
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-2655
Mailing Address - Country:US
Mailing Address - Phone:804-608-8909
Mailing Address - Fax:
Practice Address - Street 1:8931 SAWGRASS PL
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-2655
Practice Address - Country:US
Practice Address - Phone:804-608-8909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202206948183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist