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Organization
DR GHAZALEH BAHRAMI PROFESSIONAL CORPORATION
Active
Organization
DR GHAZALEH BAHRAMI PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHAZALEH BAHRAMI M.D. (OWNER)
(301) 801-5842
Entity
Organization
Contact information
Practice address
1375 UNIVERSITY ST, HEALDSBURG, CA 95448-3382
(702) 453-3799
(702) 453-5741
Mailing address
4712 ADMIRALTY WAY, #1126, MARINA DEL REY, CA 90292-6905
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A117471
CA
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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