Individual
DR. AZITA RAVANBAKHSH
Active
Individual
DR. AZITA RAVANBAKHSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
C1-0008173
DE
207R00000X
Internal Medicine Physician
Primary
C1-0008173
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1-0008173
MEDICAL LICENSE
DE
Enumeration date
11/07/2006
Last updated
06/04/2025
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