Individual
FROHAR BAHIRAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(760) 924-4014
Mailing address
PO BOX 660, 85 SIERRA PARK ROAD, MAMMOTH LAKES, CA 93546-0660
(760) 924-4014
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
60107141
WA
208600000X
Surgery Physician
Primary
A123573
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2007
Last updated
01/25/2013
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