Individual
MS. RUNALIA BAHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34 MARK WEST SPRINGS RD, SANTA ROSA, CA 95403-1766
(707) 541-7900
(705) 735-5411
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 541-7900
(707) 573-5411
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
133805
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A133805
STATE MEDICAL LICENSE
CA
Enumeration date
03/29/2013
Last updated
10/26/2022
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