# BAHAREH RAVANDI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629413422
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 142959 | CA | Yes |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | 036179700 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 05/07/2013
- **Last updated:** 09/17/2026