Bazyani, Menouchehr

Bazyani, Menouchehr is an individual health care provider with primary practice located at 2497 Herndon Ave , Clovis CA 93611-8976. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Bazyani, Menouchehr can be contacted via phone (800) 492-4227.

Contact Information

Primary practice address
2497 Herndon Ave Clovis CA 93611-8976
Phone: (800) 492-4227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X A87582 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A87582 California

Profile Details

NPI number 1154461051
LBN Legal business name Bazyani, Menouchehr
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 21st, 2022 - about 2 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 1154461051 NPPES
California MEDICAID 00A875820

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