Provider Demographics
NPI:1407382112
Name:MOHAMADI, NAGEEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NAGEEN
Middle Name:
Last Name:MOHAMADI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:NAGEEN
Other - Middle Name:
Other - Last Name:MOHAMADI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:36305 EASTERDAY WAY
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-1673
Mailing Address - Country:US
Mailing Address - Phone:510-676-3291
Mailing Address - Fax:
Practice Address - Street 1:2000 DRISCOLL RD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-4446
Practice Address - Country:US
Practice Address - Phone:510-770-8571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70357183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist