Pahlavan, Pantea
Pahlavan, Pantea is an individual health care provider with primary practice located at 1860 Pennsylvania Ave Suite 300A, Fairfield CA 94533-3590. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Pahlavan, Pantea can be contacted via phone (707) 438-7600.Contact Information
Primary practice address
1860 Pennsylvania Ave Suite 300A
Fairfield CA 94533-3590
Phone: (707) 438-7600
Fax: (707) 429-8604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A77685 | California |
Profile Details
| NPI number | 1427021583 |
|---|---|
| LBN Legal business name | Pahlavan, Pantea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Feb 21st, 2013 - about 11 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 | 1427021583 | NPPES |
| California | MEDICAID | 00A776850 |
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