Manijeh Bahremand, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD053472L Issued in PA

Practice address

1632 Pine St
Philadelphia, PA 19103-6711

Phone

(215) 670-5843

Fax

(215) 735-7991

NPI assigned

Aug 11, 2006

Last updated

Mar 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Res Ventures, LLC

  dba Rittenhouse Nutrition

  • Registered Dietitian
  • Philadelphia, PA
  • NPI 1508098377
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1669483962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189600380",
            "telephone_number": "215-723-2333",
            "fax_number": "215-257-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036711",
            "telephone_number": "215-670-5843",
            "fax_number": "215-735-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHREMAND",
        "first_name": "MANIJEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD053472L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015238940002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Abram Bahn III, D.M.D.
• Joshua Allen Bahoff, DMD
• Ramin Bahram, D.M.D
• Samira Bahrami Tabar, MD, DO
• Sheeva Bahrampour, DO
• Anuja Bahulekar
• Jessica Jingyi Bai
• Richard Bai, MD
• Valerie Bai, CRNP
• Elisabeth April Baidal, ANP

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.