Individual
DR. OTAROD BAHRANI
Active
Individual
DR. OTAROD BAHRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101051401
VA
208M00000X
Hospitalist Physician
0101051401
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-028
TRICARE/CHAMPUS
VA
05
—
006079814
—
VA
01
—
0632M
NC BC/BS
NC
01
—
12882
SENTARA
VA
01
—
236909
UHC/MAMSI
VA
01
—
250721
ANTHEM
VA
05
—
890632M
—
NC
01
—
PAR
USA MANAGED CARE
VA
Enumeration date
01/30/2006
Last updated
01/16/2020
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