Individual
BAHRAM FOROUZANDEH
Active
Individual
BAHRAM FOROUZANDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
08/13/2026
Update your record
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