Bahadini, Bahareh

Bahadini, Bahareh is an individual health care provider with primary practice located at 425 Haaland Dr Ste 101 , Thousand Oaks CA 91361-5230. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Bahadini, Bahareh can be contacted via phone (805) 496-2949.

Contact Information

Primary practice address
425 Haaland Dr Ste 101 Thousand Oaks CA 91361-5230
Phone: (805) 496-2949
Fax: (805) 204-4076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X A64997 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X A64997 California

Profile Details

NPI number 1295734614
LBN Legal business name Bahadini, Bahareh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Mar 23rd, 2022 - about 3 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 1295734614 NPPES
California MEDICAID 1134420201

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