Bahram, Ramin
Bahram, Ramin is an sole proprietor health care provider with primary practice located at 2546 S Broad St , Philadelphia PA 19145-4638. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bahram, Ramin can be contacted via phone (215) 463-4141.Contact Information
Primary practice address
2546 S Broad St
Philadelphia PA 19145-4638
Phone: (215) 463-4141
Fax: (215) 463-7616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS030599L | Pennsylvania |
Profile Details
| NPI number | 1881796985 |
|---|---|
| LBN Legal business name | Bahram, Ramin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881796985 | NPPES |
| Pennsylvania | MEDICAID | 1954168 |
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