Individual
AZITA BAHRAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10000 PARK CEDAR DR, CHARLOTTE, NC 28210-8902
(704) 667-3600
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021-02474
NC
Other
Enumeration date
05/30/2017
Last updated
12/10/2021
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