BAHRAM PISHDAD M.D. – NPI #1265502389
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

BAHRAM PISHDAD is a physician located in LARGO, MD. NPPES has assigned the NPI number 1265502389 to BAHRAM PISHDAD on November 08, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 7 years ago on Dec 19, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAHRAM PISHDAD below.

NPI Profile for
BAHRAM PISHDAD

NPI Number
1265502389
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BAHRAM PISHDAD
Credentials
M.D.
Primary location
600 LARGO RD
LARGO, MD 20774-2122
Phone: (703) 855-1036 Fax: (703) 255-5378
2 Other location(s):
7420 Marlboro Pike
Forestville, MD 20747-4343
Phone: (703) 855-1036
Fax: (703) 255-5378
8220 CRESTWOOD HEIGHTS DR
APT 607
MC LEAN, VA 22102-3129
Phone: (703) 855-1036
Fax: (703) 255-5378
Mailing address
8220 CRESTWOOD HEIGHTS DR
APT 607
MC LEAN, VA 22102-3129
Phone: (703) 855-1036 Fax: (703) 255-5378
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for BAHRAM PISHDAD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDDC017251600
MEDICAIDMD795007100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
VA 0101052350
207R00000X
- Internal Medicine
MD D0051520

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.