Provider Demographics
NPI:1427563212
Name:ZIADEH, HAMZA ADLAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HAMZA
Middle Name:ADLAN
Last Name:ZIADEH
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:PO BOX 4247
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95352-4247
Mailing Address - Country:US
Mailing Address - Phone:209-614-6258
Mailing Address - Fax:
Practice Address - Street 1:1101 MCHENRY AVE
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-5439
Practice Address - Country:US
Practice Address - Phone:209-577-8695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-03
Last Update Date:2017-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77975183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist