Bagheri, Baharak

Bagheri, Baharak is an individual health care provider with primary practice located at 5605 W Eugie Ave Ste 110 , Glendale AZ 85304-1273. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Bagheri, Baharak can be contacted via phone (623) 847-2000.

Contact Information

Primary practice address
5605 W Eugie Ave Ste 110 Glendale AZ 85304-1273
Phone: (623) 847-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 50759 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 018430 Maine
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 45040 Arizona

Profile Details

NPI number 1033379151
LBN Legal business name Bagheri, Baharak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2008
Last updated Jan 31st, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033379151 NPPES
Minnesota MEDICAID PENDING
Minnesota MEDICAID 641184

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