Provider Demographics
NPI:1871183947
Name:RAHMAN, NAVID (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:NAVID
Middle Name:
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 KNARLWOOD RD
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94561-4122
Mailing Address - Country:US
Mailing Address - Phone:925-207-4233
Mailing Address - Fax:
Practice Address - Street 1:4801 KNARLWOOD RD
Practice Address - Street 2:
Practice Address - City:OAKLEY
Practice Address - State:CA
Practice Address - Zip Code:94561-4122
Practice Address - Country:US
Practice Address - Phone:925-207-4233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53027183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist