MEDICARE: KATAYUN SAHAMI

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	183500000X	Pharmacist	PS45801	FL

General Provider Information

NPI Number	:	1568062032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATAYUN SAHAMI

Provider Business Mailing Address
First Line	:	41232 US HIGHWAY 19 N
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-5106
Country	:	US
Telephone Number	:	727-940-9295
Fax Number	:	727-939-9308

Provider Business Practice Location Address
First Line	:	41232 US HIGHWAY 19 N
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34689-5106
Country	:	US
Telephone Number	:	727-940-9295
Fax Number	:	727-939-9308

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

Provider Enumeration Date	:	10/26/2020
Last Update Date	:	10/26/2020

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Directions to “ KATAYUN SAHAMI ” Practice Location

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