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Individual

DR. FARSHAD MICHAEL BAHADOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2006 FRANKLIN ST SE STE 200, HUNTSVILLE, AL 35801-4537
(256) 539-0457
(256) 539-5827
Mailing address
2006 FRANKLIN ST SE STE 200, HUNTSVILLE, AL 35801-4537
(256) 539-0457
(256) 539-5827

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2010020269
MO
2085R0202X
Diagnostic Radiology Physician
Primary
A129414
CA
2085R0202X
Diagnostic Radiology Physician
DR.0055317
CO
2085R0202X
Diagnostic Radiology Physician
MD.35261
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13820298
CAQH
05
1730316928
CA
05
190081
AL
05
190082
AL
05
190163
AL
05
190164
AL
05
190311
AL
05
190410
AL
05
212770
AL
05
239951
AL
05
242457
AL
05
242944
AL
05
243071
AL
05
243189
AL
05
244239
AL
05
245460
AL
Enumeration date
06/16/2009
Last updated
08/10/2023
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