| Organization Name: | BAHRAM PISHDAD MD, P.C. |
| NPI Number: | 1801199427 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BAHRAM PISHDAD (PRESIDENT) |
| Mailing Address: | 1328 Southern Ave Se Suite 310 Washington |
| State: | DC US |
| Postal Code: | 200324689 |
| Phone Number: | 2025620400 |
| Fax Number: | 7032555378 |
| NPI Enumeration Date: | 12/21/2010 |
| NPI Last Update Date: | 01/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D51520 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |