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Individual
LADAN BAKHTARI
Active
Individual
LADAN BAKHTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J8447
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046492701
—
TX
01
—
83881Y
BCBS
TX
Enumeration date
11/07/2006
Last updated
03/06/2008
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