Provider Demographics
NPI:1962401711
Name:MALEKI-NOUJEDEHI, SADEGH M (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:SADEGH
Middle Name:M
Last Name:MALEKI-NOUJEDEHI
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:DR
Other - First Name:MOHAMMADSADEGH
Other - Middle Name:
Other - Last Name:MALEKI NOUJEDEHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:6507 PINEWOOD TRACE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-7242
Mailing Address - Country:US
Mailing Address - Phone:713-937-9809
Mailing Address - Fax:713-272-5550
Practice Address - Street 1:1504 TAUB LOOP
Practice Address - Street 2:BEN TAUB (HCHD) HOSPITAL, PHARMACY DEPARTMENT
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1608
Practice Address - Country:US
Practice Address - Phone:713-873-2980
Practice Address - Fax:713-272-5550
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX342901835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX34290OtherREGISTERED PHARMACSIT