# DR. SAMUEL BAHARESTANI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1730355116
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 252341 | NY | Yes |
| 207W00000X | Ophthalmology Physician | 35.098787 | OH | — |
| 207W00000X | Ophthalmology Physician | 45126 | KY | — |

## Other

- **Enumeration date:** 05/05/2008
- **Last updated:** 07/17/2014