Bahtiarian, Gregory A

Bahtiarian, Gregory A is an individual health care provider with primary practice located at 333 Tamiami Trl S Ste 102 , Venice FL 34285-2425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bahtiarian, Gregory A can be contacted via phone (941) 234-1288.

Contact Information

Primary practice address
333 Tamiami Trl S Ste 102 Venice FL 34285-2425
Phone: (941) 234-1288
Fax: (844) 388-6186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS19663 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C20005296 Delaware

Profile Details

NPI number 1295738250
LBN Legal business name Bahtiarian, Gregory A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Aug 18th, 2023 - about last year

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 1295738250 NPPES
Delaware MEDICAID 0000849003

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