Dr Bahram Pishdad, MD is a
General Practice physician based in Largo, Maryland. Dr Bahram Pishdad is licensed to practice in Maryland (license number D0051520) and his current practice location is 600 Largo Rd, Largo, Maryland. He can be reached at his office (for appointments etc.) via phone at
(703) 855-1036.
NPI number for Dr Bahram Pishdad is 1265502389 and his current mailing address is 8220 Crestwood Heights Dr, Apt 607, Mc Lean, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265502389.
Physician's Profile
Full Name | Dr Bahram Pishdad |
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Gender | Male |
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Speciality | General Practice |
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Location | 600 Largo Rd, Largo, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265502389
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 12/19/2018
Medical Identifiers
Medical identifiers for Dr Bahram Pishdad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265502389 | NPI | - | NPPES |
795007100 | Medicaid | MD | |
017251600 | Medicaid | DC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 0101052350 (Virginia) | Secondary |
207R00000X | Internal Medicine | D0051520 (Maryland) | Secondary |
208D00000X | General Practice | MD21812 (District Of Columbia) | Secondary |
208D00000X | General Practice | D0051520 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bahram Pishdad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Bahram Pishdad, MD 8220 Crestwood Heights Dr, Apt 607, Mc Lean, VA 22102-3129 Ph: (703) 855-1036 | Dr Bahram Pishdad, MD 600 Largo Rd, Largo, MD 20774-2122 Ph: (703) 855-1036 |
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