Provider Demographics
NPI:1780163287
Name:ZIADAT, DELIA SAADEH (PHARMD)
Entity type:Individual
Prefix:
First Name:DELIA
Middle Name:SAADEH
Last Name:ZIADAT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:DELIA
Other - Middle Name:SAADEH
Other - Last Name:SAADEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3570 S MOCCASIN TRL
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-7705
Mailing Address - Country:US
Mailing Address - Phone:928-279-9371
Mailing Address - Fax:
Practice Address - Street 1:1111 E MCDOWELL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2612
Practice Address - Country:US
Practice Address - Phone:602-839-2056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS0219631835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist