MEDICARE: DR. SALMA BAHADARAKHANN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P2201X	Ambulatory Care Pharmacist	77519	CA

General Provider Information

NPI Number	:	1285112698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALMA BAHADARAKHANN PHARMD

Provider Business Mailing Address
First Line	:	2409 W WASHINGTON AVE
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92706-3107
Country	:	US
Telephone Number	:	714-679-6127
Fax Number	:

Provider Business Practice Location Address
First Line	:	2409 W WASHINGTON AVE
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92706-3107
Country	:	US
Telephone Number	:	714-679-6127
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2018
Last Update Date	:	07/30/2018

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