Individual
SINA BAHMANYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1075 FEATHERSTONE RD, STE 10, ROCKFORD, IL 61107-5906
(815) 395-1157
Mailing address
6785 WEAVER RD, STE D, ROCKFORD, IL 61114-8055
(815) 395-1157
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
IL
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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