Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BAHRAM PISHDAD, M.D.
Active Sole ProprietorDR. BAHRAM PISHDAD, M.D. is a General Practice healthcare provider located in LARGO, Maryland. NPI 1265502389 is currently active in the NPPES registry. Verify at CMS.
General Practice · LARGO, MD
Registration Details
- NPI Number
- 1265502389
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2006 (19.794184985676 yrs)
- Last Updated
- Dec 19, 2018
- Licenses
-
0101052350 (VA)D0051520 (MD)MD21812 (DC)D0051520 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 LARGO RDLARGO, MD, 207742122Browse MD providers · Browse ZIP 20774
- Phone
- 7038551036
- Fax
- 7032555378
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- General Practice
- Additional Specialty
- General Practice
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.