Individual
DR. AFSHIN BAHADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9095 RIO SAN DIEGO DR STE 425, SAN DIEGO, CA 92108-1679
(858) 455-5524
(858) 587-9377
Mailing address
5030 CAMINO DE LA SIESTA STE 202, SAN DIEGO, CA 92108-3118
(858) 455-5524
(858) 587-9377
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A65396
CA
2086X0206X
Surgical Oncology Physician
Primary
A65396
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004653960
—
CA
Enumeration date
07/15/2006
Last updated
03/28/2025
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