Individual
DR. BAHAREH BAHADINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
425 HAALAND DR STE 101, THOUSAND OAKS, CA 91361-5230
(805) 496-2949
(805) 204-4076
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A64997
CA
207RX0202X
Medical Oncology Physician
A64997
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134420201
—
CA
Enumeration date
07/18/2005
Last updated
03/23/2022
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