Individual
MICHAEL BAGHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 E TACHEVAH DR STE 1W202, PALM SPRINGS, CA 92262
(760) 323-2174
(760) 864-9826
Mailing address
555 E TACHEVAH DR STE 1W202, PALM SPRINGS, CA 92262-5785
(760) 323-2174
(760) 864-9826
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44172
TN
207RC0000X
Cardiovascular Disease Physician
Primary
A117008
CA
207RI0011X
Interventional Cardiology Physician
AA117008
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513510
—
TN
Enumeration date
12/06/2007
Last updated
07/21/2022
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