Individual
DR. MICHAEL M. BAHRAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2390 NE 186TH ST, MIAMI, FL 33180-2789
(305) 760-8400
(305) 931-6166
Mailing address
2390 NE 186TH ST, MIAMI, FL 33180-2789
(305) 760-8400
(305) 931-6166
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME56556
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062430600
—
FL
01
—
09866U
FLORIDA BLUE SHIELD
FL
Enumeration date
08/04/2006
Last updated
08/04/2010
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