Individual
BAHAR GOLESTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
570 W BROWN RD, MESA, AZ 85201-3227
(480) 344-2000
Mailing address
1753 E BROADWAY RD # 101-460, TEMPE, AZ 85282-2081
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
42214
AZ
282N00000X
General Acute Care Hospital
—
—
324500000X
Substance Abuse Rehabilitation Facility
42214
AZ
Other
Enumeration date
07/14/2008
Last updated
04/22/2017
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