Individual
BAHRAM REDJAEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4467 OLD BRANCH AVE, SUITE 201, TEMPLE HILLS, MD 20748-1854
(301) 899-8900
(301) 899-2963
Mailing address
4467 OLD BRANCH AVE, SUITE 201, TEMPLE HILLS, MD 20748-1854
(301) 899-8900
(301) 899-2963
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D0039691
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207600400
—
MD
Enumeration date
11/02/2005
Last updated
11/30/2011
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