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Individual

DR. SIAMACK BAHRAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8957-K EDMONSTON RD, SUITE K, GREENBELT, MD 20770
(301) 982-9333
(301) 441-3672
Mailing address
8957-K EDMONSTON RD, SUITE K, GREENBELT, MD 20770
(301) 982-9333
(301) 441-3672

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
D0000248
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0116334
AETNA
MD
01
06699
AMERIGROUP
01
36265
OC
MD
01
3781
BCBS
MD
Enumeration date
07/13/2006
Last updated
07/08/2007
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