Bahram Pishdad MD, P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D51520 Issued in MD

Legal business name

BAHRAM PISHDAD MD, P.C.

Practice address

1328 Southern Ave SE
Suite 310
Washington, DC 20032-4689

Phone

(202) 562-0400

Fax

(703) 255-5378

NPI assigned

Dec 21, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Bahram Pishdad, M.D., P.C.

Title

President

Phone

(202) 562-0400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1801199427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 RUSTIC RAIL LN",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221815374",
            "telephone_number": "202-562-0400",
            "fax_number": "703-255-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 SOUTHERN AVE SE",
            "address_2": "SUITE 310",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324689",
            "telephone_number": "202-562-0400",
            "fax_number": "703-255-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAHRAM PISHDAD MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "PISHDAD",
        "authorized_official_first_name": "BAHRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-562-0400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MD",
            "license": "D51520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "795007100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makenna Bahammou
• Mulu Bahertase
• Lily Bahmanyar, CAA
• Joseph Bahng
• Tyler J Bahoravitch
• Monisha Bahri, MD
• Laxman Bhagwan Bahroo, D.O,
• Sonia Laxman Bahroo, PA-C
• Pinky Bai, M.D.
• Joseph Baidoo

• General Practice Physician in Washington, DC
• Providers in Washington, DC by specialty
• General Practice Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.