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Individual

BAHARAK BAGHERI

Active
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Individual

BAHARAK BAGHERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
018430
ME
2085R0202X
Diagnostic Radiology Physician
Primary
45040
AZ
2085R0202X
Diagnostic Radiology Physician
50759
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
641184
AZ
05
PENDING
MN
Enumeration date
06/12/2008
Last updated
01/31/2019
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