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Individual

BAHMAN MALEKPOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2805 MCLAMB PL, GOLDSBORO, NC 27534-1647
(919) 734-2222
(919) 734-2229
Mailing address
PO BOX 1342, GOLDSBORO, NC 27533-1342
(919) 734-2222
(919) 734-2229

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21359
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0184G
BLUE CROSS GROUP
NC
01
53772
BLUE CROSS INDIVIDUAL
NC
05
890184G
NC
05
8953772
NC
Enumeration date
07/14/2006
Last updated
11/12/2012
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