Provider Demographics
NPI:1427261718
Name:HANOOKAI, DELARAM (DDS MS)
Entity type:Individual
Prefix:DR
First Name:DELARAM
Middle Name:
Last Name:HANOOKAI
Suffix:
Gender:F
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4312 WOODMAN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-5547
Mailing Address - Country:US
Mailing Address - Phone:818-788-4788
Mailing Address - Fax:818-788-4858
Practice Address - Street 1:4312 WOODMAN AVE STE 100
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-5547
Practice Address - Country:US
Practice Address - Phone:818-788-4788
Practice Address - Fax:818-788-4858
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA419191223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics