Provider Demographics
NPI:1992959373
Name:HASHEMI, BAHAR (MD)
Entity type:Individual
Prefix:
First Name:BAHAR
Middle Name:
Last Name:HASHEMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 S CALIFORNIA AVE
Mailing Address - Street 2:SUITE 14
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1643
Mailing Address - Country:US
Mailing Address - Phone:650-429-8296
Mailing Address - Fax:
Practice Address - Street 1:366 S CALIFORNIA AVE
Practice Address - Street 2:SUITE 14
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1643
Practice Address - Country:US
Practice Address - Phone:314-550-2751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1092052084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry