Organization
G.B. HAERI M D INC
Active
Other names
GHOL B HAERI-GHARAVI M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHOL B HAERI-GHARAVI M.D. (OWNER/PRESIDENT/SOLE PROPRIETOR)
(661) 335-7755
Entity
Organization
Contact information
Practice address
4545 STOCKDALE HWY STE A, BAKERSFIELD, CA 93309-2024
(661) 834-4812
(661) 335-7766
Mailing address
PO BOX 22, BAKERSFIELD, CA 93302-0022
(661) 335-7755
(661) 335-7766
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A38702
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447220017
INDIVIDUAL NPI
CA
Enumeration date
04/09/2008
Last updated
04/09/2008
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