# PARHAM BAHADOR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073165395
- **Authorized official:** PARHAM BAHADOR (HOSPITALIST)
- **Authorized official phone:** (817) 966-3145

## Contact information

- **Practice address:** 104 N 3RD ST, ALEXANDRIA, LA 71301-8581
- **Practice address phone:** (817) 966-3145
- **Mailing address:** 6509 COLISEUM BLVD UNIT 8, ALEXANDRIA, LA 71303-3763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2019
- **Last updated:** 07/14/2020
