Provider Demographics
NPI:1871873406
Name:KOCHARIANS, ANAHID (RPH)
Entity type:Individual
Prefix:MS
First Name:ANAHID
Middle Name:
Last Name:KOCHARIANS
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 1:811 BAY HARBOUR DR
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94065-1764
Mailing Address - Country:US
Mailing Address - Phone:650-593-7224
Mailing Address - Fax:
Practice Address - Street 1:2605 MIDDLEFIELD RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-2516
Practice Address - Country:US
Practice Address - Phone:650-566-9723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44848183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist