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Individual

BAHRAM NICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2305 37TH AVE SW, MINOT, ND 58701-7669
(701) 857-5000
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 418-8000

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
11161
ND
2084N0600X
Clinical Neurophysiology Physician
11161
ND
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
11161
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1454815
ND
Enumeration date
04/24/2006
Last updated
09/24/2025
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