Provider Demographics
NPI:1821152406
Name:BARGHANI, ZAHRA R (RPT)
Entity Type:Individual
Prefix:MRS
First Name:ZAHRA
Middle Name:R
Last Name:BARGHANI
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 CREEK RD
Mailing Address - Street 2:260 B
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604
Mailing Address - Country:US
Mailing Address - Phone:949-552-5572
Mailing Address - Fax:949-552-5472
Practice Address - Street 1:33 CREEK RD
Practice Address - Street 2:260 B
Practice Address - City:IRVING
Practice Address - State:CA
Practice Address - Zip Code:92604
Practice Address - Country:US
Practice Address - Phone:949-552-5572
Practice Address - Fax:949-552-5472
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT011595A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPI595AMedicare ID - Type Unspecified