Individual
DR. SHADFAR BAHRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL PLAZA SUITE B114, LOS ANGELES, CA 90095-5201
(310) 794-9513
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
A140110
CA
207UN0901X
Nuclear Cardiology Physician
A140110
CA
207UN0902X
Nuclear Imaging & Therapy Physician
A140110
CA
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
A140110
CA
Other
Enumeration date
04/12/2013
Last updated
03/17/2018
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