Provider Demographics
NPI:1871809830
Name:SISNEROZ, SEPIDEH SHOJAI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SEPIDEH
Middle Name:SHOJAI
Last Name:SISNEROZ
Suffix:
Gender:F
Credentials:PHARMD
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Mailing Address - Street 1:10101 GROSVENOR PL
Mailing Address - Street 2:APT # 1703
Mailing Address - City:NORTH BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4668
Mailing Address - Country:US
Mailing Address - Phone:301-312-8530
Mailing Address - Fax:410-706-4725
Practice Address - Street 1:20 N PINE ST
Practice Address - Street 2:FOURTH FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1142
Practice Address - Country:US
Practice Address - Phone:410-706-5194
Practice Address - Fax:410-706-4725
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA434051835P0018X
MD198881835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy