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Organization
GAVIN G. BAHADUR, M.D., INC.
Active
Organization
GAVIN G. BAHADUR, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAVIN G. BAHADUR M.D. (PRESIDENT)
(310) 403-5251
Entity
Organization
Contact information
Practice address
1807 WILSHIRE BLVD, SUITE 203, SANTA MONICA, CA 90403-5652
(310) 829-0160
(310) 829-0170
Mailing address
2444 WILSHIRE BLVD, SUITE 504, SANTA MONICA, CA 90403-5808
(310) 453-4965
(310) 453-5670
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G83596
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G835960
—
CA
Enumeration date
07/04/2006
Last updated
10/27/2010
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