Provider Demographics
NPI:1265423636
Name:PEYMAN, SHAHNAZ (RPH)
Entity type:Individual
Prefix:MS
First Name:SHAHNAZ
Middle Name:
Last Name:PEYMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:887 WARREN WAY
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-3628
Mailing Address - Country:US
Mailing Address - Phone:650-494-9117
Mailing Address - Fax:
Practice Address - Street 1:887 WARREN WAY
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-3628
Practice Address - Country:US
Practice Address - Phone:650-494-9117
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA413271835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy