Forouzandeh, Bahram

Forouzandeh, Bahram is an individual health care provider with primary practice located at 5000 Ky Route 321 , Prestonsburg KY 41653-9113. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Forouzandeh, Bahram can be contacted via phone (606) 886-7645.

Contact Information

Primary practice address
5000 Ky Route 321 Prestonsburg KY 41653-9113
Phone: (606) 886-7645
Fax: (606) 889-6206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 31205 Kentucky
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 31205 Kentucky

Profile Details

NPI number 1750356788
LBN Legal business name Forouzandeh, Bahram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Aug 24th, 2023 - about last year

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 1750356788 NPPES
Kentucky Other 1541974 UMWA PIN NUMBER
Kentucky Other 1097430 UMWA PIN NUMBER
Kentucky Other 5274306 UMWA PIN NUMBER
Kentucky Other 000000323512 UMWA PIN NUMBER
Kentucky Other 1171556 UMWA PIN NUMBER
Kentucky Other 6000540000 UMWA PIN NUMBER
Kentucky MEDICAID 64312051 UMWA PIN NUMBER
Kentucky Other P00098815 UMWA PIN NUMBER
Kentucky Other 607181400 UMWA PIN NUMBER

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