Provider Demographics
NPI:1093790990
Name:KADKHODAZADEH, RAMONA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:RAMONA
Middle Name:
Last Name:KADKHODAZADEH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:RAMONA
Other - Middle Name:
Other - Last Name:KADZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:550 EVELYN PL
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-1824
Mailing Address - Country:US
Mailing Address - Phone:310-278-9704
Mailing Address - Fax:
Practice Address - Street 1:550 EVELYN PL
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-1824
Practice Address - Country:US
Practice Address - Phone:310-278-9704
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56376183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist