MEDICARE: MS. SHOLEH NASERZADEH R.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	35344	TX

General Provider Information

NPI Number	:	1619043767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHOLEH NASERZADEH R.PH.

Provider Business Mailing Address
First Line	:	4948 POST OAK TIMBER DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-2212
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4711 AIRLINE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77022-3003
Country	:	US
Telephone Number	:	713-691-3330
Fax Number	:	713-691-0901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	10/25/2022

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