Provider Demographics
NPI:1548854235
Name:KASHIF, NOOR ULAIN
Entity type:Individual
Prefix:
First Name:NOOR
Middle Name:ULAIN
Last Name:KASHIF
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 1:6506 OVERLAND PARK DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-9691
Mailing Address - Country:US
Mailing Address - Phone:516-515-3410
Mailing Address - Fax:
Practice Address - Street 1:4424 W WENDOVER AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-2600
Practice Address - Country:US
Practice Address - Phone:336-292-2923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28842183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist