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NPI Code Detail

MEDICARE: DR. GREGORY A BAHTIARIAN DO

MEDICARE: DR. GREGORY A BAHTIARIAN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianC20005296DE
2207Q00000XFamily Medicine PhysicianOS19663FL

General Provider Information

NPI Number : 1295738250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY A BAHTIARIAN DO
Provider Business Mailing Address
First Line : 4565 ARTESA WAY S
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33418-6790
Country : US
Telephone Number : 302-542-3171
Fax Number :
Provider Business Practice Location Address
First Line : 700 UNIVERSE BLVD
Second Line :
City : JUNO BEACH
State : FL
Zip : 33408-2657
Country : US
Telephone Number : 561-694-6212
Fax Number : 888-873-9708
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 08/06/2025

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Directions to “ DR. GREGORY A BAHTIARIAN DO” Practice Location

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