Bagheri, Bob B
Bagheri, Bob B is an individual health care provider with primary practice located at 204 Canton Rd , Cumming GA 30040-2304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bagheri, Bob B can be contacted via phone (770) 886-5437.Contact Information
Primary practice address
204 Canton Rd
Cumming GA 30040-2304
Phone: (770) 886-5437
Fax: (770) 886-5437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 040865 | Georgia |
Profile Details
| NPI number | 1326017906 |
|---|---|
| LBN Legal business name | Bagheri, Bob B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1326017906 | NPPES |
| Georgia | MEDICAID | 00682107D |
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