Individual
PARVANEH F BAKHTIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
218 BROADWAY SE, ALBUQUERQUE, NM 87102-3425
(505) 242-6988
(505) 242-6972
Mailing address
218 BROADWAY SE, ALBUQUERQUE, NM 87102-3425
(505) 242-6988
(505) 242-6972
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
97-9
NM
2084P0800X
Psychiatry Physician
979
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z4594
—
NM
Enumeration date
10/03/2006
Last updated
07/21/2022
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