Individual
JONATHAN B BAKTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2110 E FLAMINGO RD, STE 100, LAS VEGAS, NV 89119-5190
(702) 731-9559
Mailing address
1701 W CHARLESTON BLVD, STE 550, LAS VEGAS, NV 89102-2325
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
8103
NV
Other
Enumeration date
06/11/2006
Last updated
07/08/2007
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