Provider Demographics
NPI:1154708014
Name:AKBARZADEH, SOHEILA (PHARMD)
Entity type:Individual
Prefix:
First Name:SOHEILA
Middle Name:
Last Name:AKBARZADEH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3226 CROPLEY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-3518
Mailing Address - Country:US
Mailing Address - Phone:408-452-5590
Mailing Address - Fax:
Practice Address - Street 1:2514 BERRYESSA RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132-2947
Practice Address - Country:US
Practice Address - Phone:408-272-1431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51510183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist