Provider Demographics
NPI:1780058735
Name:ZARGHAMI, ALIAKBAR
Entity type:Individual
Prefix:DR
First Name:ALIAKBAR
Middle Name:
Last Name:ZARGHAMI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 BLISS CT
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95618
Mailing Address - Country:US
Mailing Address - Phone:916-412-9394
Mailing Address - Fax:707-451-3001
Practice Address - Street 1:909 BLISS CT
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95618-4806
Practice Address - Country:US
Practice Address - Phone:916-412-9394
Practice Address - Fax:707-451-3001
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-13
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55696183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist