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Organization

BAHRAM FOROUZANDEH MD PSC

Active
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Organization

BAHRAM FOROUZANDEH MD PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BAHRAM FOROUZANDEH MD (OWNER)
(606) 886-7471
Entity
Organization

Contact information

Practice address
5187 KY ROUTE 321, PRESTONSBURG, KY 41653-9114
(606) 886-7471
(606) 886-7473
Mailing address
PO BOX 1375, PRESTONSBURG, KY 41653-5375
(606) 886-7471

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6431205100
KY
01
DB3414
RAILROAD MEDICARE
KY
Enumeration date
12/07/2007
Last updated
05/19/2020
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