Sepehri, Bahram

Sepehri, Bahram is an individual health care provider with primary practice located at 230 E Broadway , Louisville KY 40202-2026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sepehri, Bahram can be contacted via phone (502) 629-8990.

Contact Information

Primary practice address
230 E Broadway Louisville KY 40202-2026
Phone: (502) 629-8990
Fax: (502) 394-3604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01030087A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20885 Kentucky

Profile Details

NPI number 1437145455
LBN Legal business name Sepehri, Bahram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Nov 22nd, 2021 - about 5 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 1437145455 NPPES
Kentucky MEDICAID 64208853
Kentucky MEDICAID 100115780A
Kentucky Other 351708493

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