Organization Active NPI

Siamack Bahrami, MD PA

  • Specialist
  • Greenbelt, MD
National Provider Identifier
1003082801
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0000248 Issued in MD
Legal business name
SIAMACK BAHRAMI, MD PA
Practice address
8957 Edmonston Rd
#K
Greenbelt, MD 20770-1005
Phone
(301) 441-3672
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Siamack Bahrami, MD
Title
President
Phone
(301) 982-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0000248 MD Primary

Addresses

Primary practice location

8957 Edmonston Rd
#K
Greenbelt, MD 20770-1005

Mailing address

8957 Edmonston Rd
#K
Greenbelt, MD 20770-1005
Phone (301) 441-3672

Other identifiers 1

IdentifierTypeStateIssuer
134981300MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1003082801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8957 EDMONSTON RD",
            "address_2": "#K",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701005",
            "telephone_number": "301-441-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8957 EDMONSTON RD",
            "address_2": "#K",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701005",
            "telephone_number": "301-441-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIAMACK BAHRAMI, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "BAHRAMI",
        "authorized_official_first_name": "SIAMACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-982-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0000248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134981300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.