Active NPI
Bahman Daneshvar-Alavi, M.D.
- Specialist
- Milledgeville, GA
National Provider Identifier
1487684650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 015754
- Practice address
- 750 N Cobb St
Milledgeville, GA 31061-2390 - Phone
- (478) 453-8433
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 015754 | GA | Primary |
Addresses
Primary practice location
750 N Cobb St
Milledgeville, GA 31061-2390
Mailing address
PO Box 1807
Milledgeville, GA 31059-1807
Phone (478) 452-4731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52048290 | Other | GA | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015754 | GA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1487684650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1807",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310591807",
"telephone_number": "478-452-4731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 N COBB ST",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310612390",
"telephone_number": "478-453-8433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANESHVAR-ALAVI",
"first_name": "BAHMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "015754",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "52048290",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milledgeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.