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Bahram Forouzandeh, MD
Gastroenterology Physician in Prestonsburg, Kentucky
NPI 1750356788

Bahram Forouzandeh is a Gastroenterology Physician based in Prestonsburg, KY and is specialized in Gastroenterology. Bahram Forouzandeh practices in Prestonsburg, KY and has the professional credentials of MD. The NPI Number for Bahram Forouzandeh is 1750356788 and holds a License No. 31205 (Kentucky).

The current practice location address for Bahram Forouzandeh is 5000 Ky Route 321, Prestonsburg, KY and can be reached out via phone at 606-886-7645 and via fax at 606-889-6206.

Location: 5000 Ky Route 321, Prestonsburg, KY, 41653-9113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750356788
Provider Name
Bahram Forouzandeh
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5000 Ky Route 321, Prestonsburg, KY, 41653-9113
Phone Number
606-886-7645
Fax Number
606-889-6206
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1541974 01 KY UMWA PIN NUMBER
1097430 01 KY PASSPORT HEALTH PIN #
5274306 01 KY AETNA PIN NUMBER
000000323512 01 KY ANTHEM BC/BS PIN NUMBER
1171556 01 KY CHA HEALTH PIN NUMBER
6000540000 01 KY WV MEDICAID PIN NUMBER
64312051 05 KY
P00098815 01 KY RAILROAD MEDICARE PIN #
607181400 01 KY FEDERAL BLACK LUNG PIN #
institution
Provider Business Practice Location Address Details
Address
5000 Ky Route 321
City
Prestonsburg
State
Kentucky
Zip
41653-9113
Phone Number
606-886-7645
Fax Number
606-889-6206
person
Provider Business Mailing Address Details
Address
5000 Ky Route 321
City
Prestonsburg
State
Kentucky
Zip
41653-9113
Phone Number
606-886-7645
Fax Number
606-889-6206
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
31205 (Kentucky)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
31205 (Kentucky)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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