# G.B. HAERI M D INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** GHOL B HAERI-GHARAVI M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205009461
- **Authorized official:** DR. GHOL B HAERI-GHARAVI M.D. (OWNER/PRESIDENT/SOLE PROPRIETOR)
- **Authorized official phone:** (661) 335-7755

## Contact information

- **Practice address:** 4545 STOCKDALE HWY STE A, BAKERSFIELD, CA 93309-2024
- **Practice address phone:** (661) 834-4812
- **Practice address fax:** (661) 335-7766
- **Mailing address:** PO BOX 22, BAKERSFIELD, CA 93302-0022
- **Mailing address phone:** (661) 335-7755
- **Mailing address fax:** (661) 335-7766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A38702 | CA | Yes |

## Other

- **Enumeration date:** 04/09/2008
- **Last updated:** 04/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1447220017 | INDIVIDUAL NPI | CA |