Provider Demographics
NPI:1699106518
Name:SHEIKH-OL-ESLAMI, ANAHITA
Entity type:Individual
Prefix:MS
First Name:ANAHITA
Middle Name:
Last Name:SHEIKH-OL-ESLAMI
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:PO BOX 1059
Mailing Address - Street 2:
Mailing Address - City:NAALEHU
Mailing Address - State:HI
Mailing Address - Zip Code:96772-1059
Mailing Address - Country:US
Mailing Address - Phone:808-557-7260
Mailing Address - Fax:
Practice Address - Street 1:94-2166 SOUTH POINT RD
Practice Address - Street 2:
Practice Address - City:NAALEHU
Practice Address - State:HI
Practice Address - Zip Code:96772-9677
Practice Address - Country:US
Practice Address - Phone:808-557-7260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-03
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15351171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist