Dr Ghazaleh Bahrami Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A117471 Issued in CA

Legal business name

DR GHAZALEH BAHRAMI PROFESSIONAL CORPORATION

Practice address

1375 University St
Healdsburg, CA 95448-3382

Phone

(702) 453-3799

Fax

(702) 453-5741

NPI assigned

Dec 5, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ghazaleh Bahrami, M.D.

Title

Owner

Phone

(301) 801-5842

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1386042489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 ADMIRALTY WAY",
            "address_2": "#1126",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926905",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 UNIVERSITY ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483382",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GHAZALEH BAHRAMI PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "BAHRAMI",
        "authorized_official_first_name": "GHAZALEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-801-5842",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A117471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley D Davis, MD
• Lisa Gallagher Dayton, D.C.
• John A Del Monte, DPM
• Yolene Dhaiti
• James Francis Dolan, M.D.
• Dr Rachel Mayorga MD PC
• Thea J Drayer, MD
• Brad Drexler, M.D.
• Nicolas Sebastian Drexler, L.AC.
• Sarah Dudenhoeffer, D.O.

• All providers in Healdsburg, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.