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Contact Information

MOHAMMAD ALI BAKHTAVAR, MD
205 NORTH FIRST STR
SUITE D
BLYTHE, CA92225
 Phone: 760-922-6667
 Fax: 760-922-6668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MOHAMMAD ALI BAKHTAVAR · (Male)

NPI # 1942303367
Status Active
Credentials MD
Entity Individual
Enumeration date 09/07/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C521640
  • CA Medicaid 00C521640
Hospital affiliation(s)
  • PALO VERDE HOSPITAL - (Acute Care)
    250 NORTH FIRST STREET
    BLYTHE, CA 92225
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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