Individual
BAHRAM ROBERT OLIAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(214) 638-2000
(214) 631-6724
Mailing address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(214) 638-2000
(214) 631-6724
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
036111213
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036111213
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361112131
—
IL
Enumeration date
05/15/2006
Last updated
09/30/2015
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