Provider Demographics
NPI:1992413959
Name:SHENODA, RANIA (RPH)
Entity type:Individual
Prefix:
First Name:RANIA
Middle Name:
Last Name:SHENODA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2608 TIVERTON DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9388
Mailing Address - Country:US
Mailing Address - Phone:661-472-4904
Mailing Address - Fax:
Practice Address - Street 1:2608 TIVERTON DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9388
Practice Address - Country:US
Practice Address - Phone:661-472-4904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87301183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist