Aghdasi, Bayan
Aghdasi, Bayan is an individual health care provider with primary practice located at 2545 W Hammer Ln , Stockton CA 95209-2839. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Aghdasi, Bayan can be contacted via phone (209) 948-1641.Contact Information
Primary practice address
2545 W Hammer Ln
Stockton CA 95209-2839
Phone: (209) 948-1641
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | D87120 | Maryland |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A168885 | California |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | A168885 | California |
Profile Details
NPI number | 1225476500 |
---|---|
LBN Legal business name | Aghdasi, Bayan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2013 |
Last updated | Sep 11th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225476500 | NPPES |
Maryland | Other | D87120 | LICENSE |
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