Individual
MISS REENA BAHARANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-1121
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
201351
AK
2084P0800X
Psychiatry Physician
Primary
286242
NY
2084P0800X
Psychiatry Physician
MD61310761
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2012
Last updated
11/22/2024
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