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Individual

DR. SHAHROUKH BAKHSHAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3315 M STREET, MERCED, CA 95348
(209) 384-1400
(209) 384-1441
Mailing address
23 W. ALEXANDER AVE., PMB # 230, MERCED, CA 95348
(209) 384-1400
(209) 384-1441

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
38974
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A31339
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000540849
ANTHEM
KY
05
64087927
KY
Enumeration date
02/08/2007
Last updated
11/15/2012
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