Doctor Name: | DR. BIJAN BAHMANYAR |
NPI Number: | 1013900992 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., F.A.C.S. |
License Number: | D28759 |
Business Practice Address: | 7311 Hanover Pkwy Suite B Greenbelt, MD - 207702033 |
Business Phone Number: | 3013456222 |
Business Fax Number: | 3013454130 |
Mailing Address: | Po Box 254, GREENBELT |
State: | MD |
Postal Code: | 207680254 |
Phone Number: | 3013456222 |
Fax Number: | 3013454130 |
NPI Enumeration Date: | 08/25/2005 |
NPI Last Update Date: | 07/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D28759 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |