Individual
BAHRAM FOROUZANDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 KY ROUTE 321, PRESTONSBURG, KY 41653-9113
(606) 886-7645
(606) 889-6206
Mailing address
5000 KY ROUTE 321, PRESTONSBURG, KY 41653-9113
(606) 886-7645
(606) 889-6206
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
31205
KY
207RG0100X
Gastroenterology Physician
Primary
31205
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000323512
ANTHEM BC/BS PIN NUMBER
KY
01
—
1097430
PASSPORT HEALTH PIN #
KY
01
—
1171556
CHA HEALTH PIN NUMBER
KY
01
—
1541974
UMWA PIN NUMBER
KY
01
—
5274306
AETNA PIN NUMBER
KY
01
—
6000540000
WV MEDICAID PIN NUMBER
KY
01
—
607181400
FEDERAL BLACK LUNG PIN #
KY
05
—
64312051
—
KY
01
—
P00098815
RAILROAD MEDICARE PIN #
KY
Enumeration date
02/22/2006
Last updated
08/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us