Individual
DR. BAHMAN DANESHVAR-ALAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 N COBB ST, MILLEDGEVILLE, GA 31061-2390
(478) 453-8433
Mailing address
PO BOX 1807, MILLEDGEVILLE, GA 31059-1807
(478) 452-4731
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
015754
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52048290
BLUE CROSS/BLUE SHIELD
GA
Enumeration date
07/04/2006
Last updated
07/09/2007
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