Provider Demographics
NPI:1417770066
Name:PATTANI, SHAMEEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHAMEEL
Middle Name:
Last Name:PATTANI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3912 ESKEW DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-2123
Mailing Address - Country:US
Mailing Address - Phone:713-851-5756
Mailing Address - Fax:
Practice Address - Street 1:4500 CARTER CREEK PKWY STE 202
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-4494
Practice Address - Country:US
Practice Address - Phone:979-690-9112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55536183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist