Provider Demographics
NPI:1265443188
Name:ESKANDARI, PARVANEH
Entity Type:Individual
Prefix:MRS
First Name:PARVANEH
Middle Name:
Last Name:ESKANDARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3122 N MAY AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-6942
Mailing Address - Country:US
Mailing Address - Phone:405-604-8010
Mailing Address - Fax:405-604-8017
Practice Address - Street 1:3122 N MAY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-6942
Practice Address - Country:US
Practice Address - Phone:405-604-8010
Practice Address - Fax:405-525-4147
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11845183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist