Provider Demographics
NPI:1801056569
Name:ZADEH, BAHAR H (MD)
Entity type:Individual
Prefix:DR
First Name:BAHAR
Middle Name:H
Last Name:ZADEH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3400 OLD MILTON PKWY
Mailing Address - Street 2:STE A130
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-3707
Mailing Address - Country:US
Mailing Address - Phone:770-664-8898
Mailing Address - Fax:770-772-4377
Practice Address - Street 1:3400 OLD MILTON PKWY
Practice Address - Street 2:STE A130
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-3707
Practice Address - Country:US
Practice Address - Phone:770-664-8898
Practice Address - Fax:770-772-4377
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2017-02-20
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Provider Licenses
StateLicense IDTaxonomies
CAA102753207Q00000X
GA074932207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine