Bahadur, Gavin

Bahadur, Gavin is an individual health care provider with primary practice located at 1807 Wilshire Blvd Suite 203, Santa Monica CA 90403-5652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bahadur, Gavin can be contacted via phone (310) 829-0160.

Contact Information

Primary practice address
1807 Wilshire Blvd Suite 203 Santa Monica CA 90403-5652
Phone: (310) 829-0160
Fax: (310) 829-0170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G83596 California

Profile Details

NPI number 1174553994
LBN Legal business name Bahadur, Gavin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jan 22nd, 2020 - about 4 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 1174553994 NPPES
California MEDICAID 00G835960

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