Healthcare Provider Details

I. General information

NPI: 1427748672
Provider Name (Legal Business Name): EIHSAN SALIH RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2023
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 BLAIRS FERRY RD NE
CEDAR RAPIDS IA
52402-1220
US

IV. Provider business mailing address

43430 ROBEY SQ
ASHBURN VA
20148-6785
US

V. Phone/Fax

Practice location:
  • Phone: 319-393-4348
  • Fax:
Mailing address:
  • Phone: 571-241-0711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number25225
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: