Individual
DR. A GHAFOOR BAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8600 N STATE ROUTE 91, SUITE 250, PEORIA, IL 61615-9541
(309) 621-7001
(309) 692-2538
Mailing address
8600 N STATE ROUTE 91, SUITE 250, PEORIA, IL 61615-9541
(309) 621-7001
(309) 692-2538
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036101841
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036101841
IL
Other
Enumeration date
10/21/2005
Last updated
03/07/2019
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