Alavynejad, Bahram

Alavynejad, Bahram is an individual health care provider with primary practice located at 1 Hoag Dr Radiology Deptartment, Newport Beach CA 92663-4162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Alavynejad, Bahram can be contacted via phone (949) 764-6876.

Contact Information

Primary practice address
1 Hoag Dr Radiology Deptartment Newport Beach CA 92663-4162
Phone: (949) 764-6876
Fax: (949) 764-6874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A74844 California

Profile Details

NPI number 1124071972
LBN Legal business name Alavynejad, Bahram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Feb 9th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124071972 NPPES
California Other 00A748440 BLUE SHIELD OF CA
California MEDICAID 00A748440 BLUE SHIELD OF CA

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