Provider Demographics
NPI:1164790085
Name:DADAYAN, RAMAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RAMAN
Middle Name:
Last Name:DADAYAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22420 MAJESTIC CT
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91390-5701
Mailing Address - Country:US
Mailing Address - Phone:818-324-5260
Mailing Address - Fax:
Practice Address - Street 1:22420 MAJESTIC CT
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91390-5701
Practice Address - Country:US
Practice Address - Phone:818-324-5260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA66572183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist