Pishdad, Bahram

Pishdad, Bahram is an sole proprietor health care provider with primary practice located at 600 Largo Rd , Largo MD 20774-2122. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Pishdad, Bahram can be contacted via phone (703) 855-1036.

Contact Information

Primary practice address
600 Largo Rd Largo MD 20774-2122
Phone: (703) 855-1036
Fax: (703) 255-5378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101052350 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0051520 Maryland
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD21812 District of Columbia
Allopathic & Osteopathic Physicians / General Practice 208D00000X D0051520 Maryland

Profile Details

NPI number 1265502389
LBN Legal business name Pishdad, Bahram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Dec 19th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265502389 NPPES
Maryland MEDICAID 795007100
Maryland MEDICAID 017251600

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