Provider Demographics
NPI:1295390672
Name:BAGHERPOUR, ARMEGHAN
Entity Type:Individual
Prefix:
First Name:ARMEGHAN
Middle Name:
Last Name:BAGHERPOUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8120 TIMBERLAKE WAY STE 210B
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-5414
Mailing Address - Country:US
Mailing Address - Phone:916-251-3058
Mailing Address - Fax:916-282-2441
Practice Address - Street 1:8120 TIMBERLAKE WAY STE 210B
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5414
Practice Address - Country:US
Practice Address - Phone:916-251-3058
Practice Address - Fax:916-282-2441
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant