Provider Demographics
NPI:1962812677
Name:SAHIB, SWATI
Entity type:Individual
Prefix:
First Name:SWATI
Middle Name:
Last Name:SAHIB
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 1:7157 E SAGINAW ST
Mailing Address - Street 2:EAST LANSING
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-9627
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7157 E SAGINAW ST
Practice Address - Street 2:EAST LANSING
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-9627
Practice Address - Country:US
Practice Address - Phone:517-885-9010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020391131835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy