Bahram Forouzandeh MD PSC
Organization Active NPI Gastroenterology Physician · Prestonsburg, KY
NPI 1295918787 · NPPES record last updated May 19, 2020
Key facts
- NPI
- 1295918787
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- Legal business name
- BAHRAM FOROUZANDEH MD PSC
- Practice address
- 5187 Ky Route 321
Prestonsburg, KY 41653-9114 - Phone
- (606) 886-7471
- Fax
- (606) 886-7473
- NPI assigned
- Dec 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Bahram Forouzandeh, MD
- Title
- Owner
- Phone
- (606) 886-7471
National Provider Directory
Locations
RT 3 S Kirk PLZ
Kirk PLZ
Inez, KY 41224
Phone (606) 298-7337
RT 3 S Kirk PLZ
Inez, KY 41224
Phone (606) 298-7337
5187 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-6388
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | Yes | ||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
5187 Ky Route 321
Prestonsburg, KY 41653-9114
Mailing address
PO Box 1375
Prestonsburg, KY 41653-5375
Phone (606) 886-7471
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB3414 | Other | KY | RAILROAD MEDICARE |
| 6431205100 | Medicaid | KY |
Other providers in Prestonsburg, KY
- Cody Azizpour
- Sabrina Back
- Leila Bacon
- Syed G Badrudduja
- Erin Michelle Bagwell
- Brittany Bailey
- Christopher M Bailey
- Claire Bailey
- Jacob Bailey
- Leah Bailey
All providers in Prestonsburg, KY · Gastroenterology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.