Organization
BAHRAM PISHDAD MD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BAHRAM PISHDAD M.D., P.C. (PRESIDENT)
(202) 562-0400
Entity
Organization
Contact information
Practice address
1328 SOUTHERN AVE SE, SUITE 310, WASHINGTON, DC 20032-4689
(202) 562-0400
(703) 255-5378
Mailing address
9900 RUSTIC RAIL LN, VIENNA, VA 22181-5374
(202) 562-0400
(703) 255-5378
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D51520
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
795007100
—
MD
Enumeration date
12/21/2010
Last updated
01/04/2011
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