Bayati, Reza

Bayati, Reza is an sole proprietor health care provider with primary practice located at 1 Medical Plaza Dr Wound Care Clinic, Roseville CA 95661-3037. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bayati, Reza can be contacted via phone (916) 781-1386.

Contact Information

Primary practice address
1 Medical Plaza Dr Wound Care Clinic Roseville CA 95661-3037
Phone: (916) 781-1386
Fax: (916) 781-1456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 4301066754 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C52426 California

Profile Details

NPI number 1962584920
LBN Legal business name Bayati, Reza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Dec 22nd, 2016 - about 10 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 1962584920 NPPES
Michigan MEDICAID 4772285

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