Bahadori, Hamid Reza

Bahadori, Hamid Reza is an individual health care provider with primary practice located at 3531 Mary Ader Ave Ste A , Charleston SC 29414-5896. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bahadori, Hamid Reza can be contacted via phone (843) 723-0202.

Contact Information

Primary practice address
3531 Mary Ader Ave Ste A Charleston SC 29414-5896
Phone: (843) 723-0202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X LL24898 South Carolina

Profile Details

NPI number 1861571887
LBN Legal business name Bahadori, Hamid Reza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Sep 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861571887 NPPES
South Carolina Other LL24898 MEDICAL LICENSE
South Carolina MEDICAID GP0011 MEDICAL LICENSE

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