Khabazghazvini, Baharak

Khabazghazvini, Baharak is an individual health care provider with primary practice located at 5901 Sw 74Th St Ste 408 , South Miami FL 33143-5164. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Khabazghazvini, Baharak can be contacted via phone (305) 735-3555.

Contact Information

Primary practice address
5901 Sw 74Th St Ste 408 South Miami FL 33143-5164
Phone: (305) 735-3555
Fax: (954) 990-7650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11004948 Florida

Profile Details

NPI number 1568007136
LBN Legal business name Khabazghazvini, Baharak
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2019
Last updated Jun 7th, 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 1568007136 NPPES
Florida MEDICAID 104945400

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