Individual
DR. BAHRAM KHAZAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-3636
(305) 243-6575
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-3636
(305) 243-6575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME116208
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/10/2008
Last updated
10/29/2013
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