Most Relevant Information
Provider Data
| NPI Number: | 1003236787 |
| Provider Name: | ROMIN BONAKDAR |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | 201812 |
Most Important Dates
| Enumeration Date: | 04/22/2014 |
| Last Updated: | 05/14/2020 |
Provider Practice Location
4419 BEN FRANKLIN BLVD
DURHAM
NC
277042147
Practice Location Phone/Fax
| Phone: | 9194773005 |
| Fax: | 9194775526 |
Provider Mailing Location
4419 BEN FRANKLIN BLVD APT E308
DURHAM
NC
277042147
Provider Mailing Phone/Fax
| Phone: | 9194773005 |
| Fax: | 9194775526 |