Provider Demographics
NPI:1881641033
Name:DAVAR, GUDARZ (MD)
Entity Type:Individual
Prefix:
First Name:GUDARZ
Middle Name:
Last Name:DAVAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2878 COUNTRY VISTA ST
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-1183
Mailing Address - Country:US
Mailing Address - Phone:805-490-0300
Mailing Address - Fax:
Practice Address - Street 1:AMGEN - ONE AMGEN CENTER DRIVE
Practice Address - Street 2:MAIL STOP 38-3-B
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91320
Practice Address - Country:US
Practice Address - Phone:805-490-0300
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA570322084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology