Provider Demographics
NPI:1194333898
Name:HELFOROOSH, SADAF
Entity type:Individual
Prefix:
First Name:SADAF
Middle Name:
Last Name:HELFOROOSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11904 VISCAYA WAY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78726-4104
Mailing Address - Country:US
Mailing Address - Phone:512-947-6393
Mailing Address - Fax:
Practice Address - Street 1:10710 RESEARCH BLVD STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5780
Practice Address - Country:US
Practice Address - Phone:512-794-8227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-19
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72515183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist