Provider Demographics
NPI:1689857005
Name:BIGLARI, SHAHNAM ZAND (PHARMD, BCNP)
Entity Type:Individual
Prefix:DR
First Name:SHAHNAM
Middle Name:ZAND
Last Name:BIGLARI
Suffix:
Gender:M
Credentials:PHARMD, BCNP
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 195
Mailing Address - Street 2:
Mailing Address - City:ATWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:92811-0195
Mailing Address - Country:US
Mailing Address - Phone:949-607-0955
Mailing Address - Fax:949-315-3044
Practice Address - Street 1:14 PRAIRIE FALCON
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-1717
Practice Address - Country:US
Practice Address - Phone:949-607-0955
Practice Address - Fax:949-315-3044
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH45604183500000X, 1835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835N0905XPharmacy Service ProvidersPharmacistNuclear