Provider Demographics
NPI:1649547324
Name:PARSEN, KAMRAN BEHBAHANI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KAMRAN
Middle Name:BEHBAHANI
Last Name:PARSEN
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 1:8363 BASSWOOD DR APT 1C
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-3581
Mailing Address - Country:US
Mailing Address - Phone:317-372-6650
Mailing Address - Fax:
Practice Address - Street 1:8363 BASSWOOD DR APT 1C
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-3581
Practice Address - Country:US
Practice Address - Phone:317-372-6650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26023766A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist