Organization
R BAYATI MD PC
Active
Organization
R BAYATI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REZA BAYATI MD (DIRECTOR)
(916) 626-4838
Entity
Organization
Contact information
Practice address
5120 WARD LN, ROCKLIN, CA 95677-2842
(916) 626-4838
(916) 626-4837
Mailing address
5120 WARD LN, ROCKLIN, CA 95677-2842
(916) 626-4838
(916) 626-4837
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301066754
MI
261QM2500X
Medical Specialty Clinic/Center
C52426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4721670
—
MI
Enumeration date
05/17/2007
Last updated
08/07/2014
Update your record
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