Individual provider · NPI-1

Dr. Shadfar Bahri, M.D.

Nuclear Medicine · Los Angeles, CA

NPI number1104269729
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1104269729
Entity type
Individual (NPI-1)
Name
Dr. Shadfar Bahri
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 12, 2013
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207U00000X Nuclear MedicineA140110CAYes
207UN0901X Nuclear Medicine, Nuclear CardiologyA140110CA
207UN0902X Nuclear Medicine, Nuclear Imaging & TherapyA140110CA
207UN0903X Nuclear Medicine, In Vivo & In Vitro Nuclear MedicineA140110CA

Practice location

200 Medical Plaza Suite B114
Los Angeles, CA 90095-5201

Phone 310-794-9513

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Phone 310-301-8707

Other practice locations

5901 E 7th St
Long Beach, CA 90822-5201

Phone 562-826-8000

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