Provider Demographics
NPI:1083177216
Name:SALEHI, SHAHRZAD K (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SHAHRZAD
Middle Name:K
Last Name:SALEHI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:SHAHRZAD
Other - Middle Name:
Other - Last Name:KHADEMADAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:16308 E ARROW DR UNIT 212
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-8752
Mailing Address - Country:US
Mailing Address - Phone:480-370-3163
Mailing Address - Fax:
Practice Address - Street 1:9501 E SHEA BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6719
Practice Address - Country:US
Practice Address - Phone:480-391-4665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-14
Last Update Date:2019-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS014181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist