Bahtiarian, Gregory A
Bahtiarian, Gregory A is an individual health care provider with primary practice located at 333 Tamiami Trl S Ste 102 , Venice FL 34285-2425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bahtiarian, Gregory A can be contacted via phone (941) 234-1288.Contact Information
Primary practice address
333 Tamiami Trl S Ste 102
Venice FL 34285-2425
Phone: (941) 234-1288
Fax: (844) 388-6186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS19663 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C20005296 | Delaware |
Profile Details
| NPI number | 1295738250 |
|---|---|
| LBN Legal business name | Bahtiarian, Gregory A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Aug 18th, 2023 - about 3 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 | 1295738250 | NPPES |
| Delaware | MEDICAID | 0000849003 |
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