Bahram Ziaie, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

21337 Issued in KY

Practice address

20 Medical Village Dr.
Suite 107
Edgewood, KY 41017

Phone

(859) 344-8333

Fax

(859) 344-0052

NPI assigned

Jan 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mr. Barry Bahram Ziaie Armin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1558340703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDICAL VILLAGE DR.",
            "address_2": "SUITE 107",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-344-8333",
            "fax_number": "859-344-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL VILLAGE DR.",
            "address_2": "SUITE 107",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-344-8333",
            "fax_number": "859-344-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIAIE",
        "first_name": "BAHRAM",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-14",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "21337",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "36945",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64213374",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARRY BAHRAM",
            "last_name": "ARMIN",
            "middle_name": "ZIAIE",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Martha E. Yunker, C.R.N.A.
• Jessica Marie Yarr Zandri, M.D.
• David Zangrando, MD
• Wende Zehnder, NP
• Shauna Marie Zerhusen, CNM
• Suzanne Ziegler
• Anthony G Zimmermann, MD
• Chrisanthy Zowtiak, MD

• Psychiatry Physician in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.