Provider Demographics
NPI:1598215758
Name:BARZEGAR, SHAHRYAR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHAHRYAR
Middle Name:
Last Name:BARZEGAR
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 1:5844 LARAMIE AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-5526
Mailing Address - Country:US
Mailing Address - Phone:818-675-2340
Mailing Address - Fax:
Practice Address - Street 1:5844 LARAMIE AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-5526
Practice Address - Country:US
Practice Address - Phone:818-675-2340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75669183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy