Individual
MR. BAHRAM ZIAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 MEDICAL VILLAGE DR., SUITE 107, EDGEWOOD, KY 41017
(859) 344-8333
(859) 344-0052
Mailing address
20 MEDICAL VILLAGE DR., SUITE 107, EDGEWOOD, KY 41017
(859) 344-8333
(859) 344-0052
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21337
KY
2084P0800X
Psychiatry Physician
36945
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64213374
—
KY
Enumeration date
01/14/2006
Last updated
11/12/2010
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