Bahrami, Carlos S

Bahrami, Carlos S is an individual health care provider with primary practice located at 508 S Adams St Ste 102 , Fort Worth TX 76104-2151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bahrami, Carlos S can be contacted via phone (817) 339-8855.

Contact Information

Primary practice address
508 S Adams St Ste 102 Fort Worth TX 76104-2151
Fax: (817) 339-8889
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X M3878 Texas

Profile Details

NPI number 1205869773
LBN Legal business name Bahrami, Carlos S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Nov 5th, 2015 - about 10 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 1205869773 NPPES
Texas MEDICAID 184625503
Texas Other P00791930

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