Bagheri, Pedram
Bagheri, Pedram is an individual health care provider with primary practice located at 1534 N Moorpark Rd 291, Thousand Oaks CA 91360-5129. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bagheri, Pedram can be contacted via phone (805) 497-1800.Contact Information
Primary practice address
1534 N Moorpark Rd 291
Thousand Oaks CA 91360-5129
Phone: (805) 497-1800
Fax: (805) 262-2558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A97085 | California |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A97085 | California |
Profile Details
| NPI number | 1578785275 |
|---|---|
| LBN Legal business name | Bagheri, Pedram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jun 18th, 2013 - about 12 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 | 1578785275 | NPPES |
| California | MEDICAID | 1578785275 |
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