Provider Demographics
NPI:1336479443
Name:ESKANDARI, IMAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:IMAN
Middle Name:
Last Name:ESKANDARI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 ROBLE AVE APT M
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4821
Mailing Address - Country:US
Mailing Address - Phone:310-435-2831
Mailing Address - Fax:650-366-4211
Practice Address - Street 1:340 WOODSIDE PLZ
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-3259
Practice Address - Country:US
Practice Address - Phone:650-368-7008
Practice Address - Fax:650-366-4211
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60390183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist