Individual
B. PATRICK BAGHDIKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 543-5880
Mailing address
8905 SW NIMBUS AVE, SUITE 300, BEAVERTON, OR 97008-7136
(503) 372-2762
(503) 372-2776
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G54505
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084225
—
CA
Enumeration date
09/15/2006
Last updated
06/05/2015
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