Individual
MR. KAMYAR BAHMANPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-3000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A132460
CA
207LP3000X
Pediatric Anesthesiology Physician
A132460
CA
Other
Enumeration date
04/07/2011
Last updated
04/09/2024
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