Bahador, Afshin
Bahador, Afshin is an sole proprietor health care provider with primary practice located at 5030 Camino De La Siesta Ste 204 , San Diego CA 92108-3118. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Bahador, Afshin can be contacted via phone (858) 455-5524.Contact Information
Primary practice address
5030 Camino De La Siesta Ste 204
San Diego CA 92108-3118
Phone: (858) 455-5524
Fax: (858) 587-9377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A65396 | California |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | A65396 | California |
Profile Details
| NPI number | 1316963713 |
|---|---|
| LBN Legal business name | Bahador, Afshin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Dec 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316963713 | NPPES |
| California | MEDICAID | 004653960 |
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