Individual
DIKRAN BAIRAMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-7000
Mailing address
830 SCENIC DR, MODESTO, CA 95350-6131
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A52757
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A527570
MEDICAL PIN
—
Enumeration date
11/01/2006
Last updated
07/08/2007
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