Provider Demographics
NPI:1366274292
Name:MUSSAYAR, SHEELA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHEELA
Middle Name:
Last Name:MUSSAYAR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29029 CARAVAN LN
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-4761
Mailing Address - Country:US
Mailing Address - Phone:510-825-6431
Mailing Address - Fax:
Practice Address - Street 1:1991 MOUNTAIN BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-2812
Practice Address - Country:US
Practice Address - Phone:510-399-2215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89813183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist