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Individual

JAVID GHANDEHARI

Active
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Individual

JAVID GHANDEHARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A127144
CA
208600000X
Surgery Physician
125054209
IL
208VP0000X
Pain Medicine Physician
Primary
A127144
CA

Other

Enumeration date
08/05/2008
Last updated
10/01/2018
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