Provider Demographics
NPI:1477612281
Name:KEYASHIAN, FARANGIS N (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:FARANGIS
Middle Name:N
Last Name:KEYASHIAN
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 1:33 N EL MOLINO AVE UNIT 205
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-5642
Mailing Address - Country:US
Mailing Address - Phone:415-608-4704
Mailing Address - Fax:
Practice Address - Street 1:33 N EL MOLINO AVE UNIT 205
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-5642
Practice Address - Country:US
Practice Address - Phone:415-608-4704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA572511835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology