Provider Demographics
NPI:1437467172
Name:AZIZI, BEHNOOSH NIKKHAH (RPH)
Entity Type:Individual
Prefix:
First Name:BEHNOOSH
Middle Name:NIKKHAH
Last Name:AZIZI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7011 E SHEA BLVD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5249
Mailing Address - Country:US
Mailing Address - Phone:480-707-8462
Mailing Address - Fax:480-268-7916
Practice Address - Street 1:7011 E SHEA BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5249
Practice Address - Country:US
Practice Address - Phone:480-707-8462
Practice Address - Fax:480-268-7916
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10468183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist