Individual
SHARIAR Z BAVAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3020 OLD RANCH PARKWAY, 3RD FLOOR STERLING PATHOLOGY LABORATORY, SEAL BEACH, CA 90740
(562) 799-5518
(562) 799-5544
Mailing address
3020 OLD RANCH PARKWAY, 3RD FLOOR, SEAL BEACH, CA 90740
(562) 799-5518
(562) 799-5544
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
A43169
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A43169
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A431690
—
CA
Enumeration date
03/28/2006
Last updated
02/29/2008
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