Individual
JASON BAVARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2 BERNARDINE DR, NEWPORT NEWS, VA 23602-4404
(757) 886-6000
Mailing address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102205538
VA
207P00000X
Emergency Medicine Physician
5101021540
MI
Other
Enumeration date
04/28/2015
Last updated
08/01/2019
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