Healthcare Provider Details

I. General information

NPI: 1710566708
Provider Name (Legal Business Name): BAHAREH ASKARI-ATAPOUR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2021
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7202 N MILLBROOK AVE STE 105
FRESNO CA
93720-3341
US

IV. Provider business mailing address

1111 E SPRUCE AVE STE 431
FRESNO CA
93720-3330
US

V. Phone/Fax

Practice location:
  • Phone: 559-450-4463
  • Fax: 559-450-4462
Mailing address:
  • Phone: 559-450-5611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA192954
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: