Khosrow Bahrani, MD | |
3111 Maplewood Ave, Suite # 101, Winston-salem, NC 27103-3906 | |
(336) 768-2162 | |
(336) 760-4119 |
Full Name | Khosrow Bahrani |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
Location | 3111 Maplewood Ave, Winston-salem, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215982186 | NPI | - | NPPES |
12493 | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 18353 (North Carolina) | Primary |
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 18353 (North Carolina) | Primary |
Entity Name | Envisions Of Life Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881788818 PECOS PAC ID: 0749317493 Enrollment ID: O20100428000794 |
Mailing Address | Practice Location Address |
---|---|
Khosrow Bahrani, MD 3111 Maplewood Ave, Suite # 101, Winston-salem, NC 27103-3906 Ph: (336) 768-2162 | Khosrow Bahrani, MD 3111 Maplewood Ave, Suite # 101, Winston-salem, NC 27103-3906 Ph: (336) 768-2162 |
Mr. Roger Lee Mccauley, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 175 Kimel Park Dr, Ste 115, Winston-salem, NC 27103 Phone: 336-768-6930 Fax: 336-768-6328 | |
Travis Harold Jackson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr, Suite 100, Winston-salem, NC 27103 Phone: 336-768-6347 Fax: 336-760-9393 | |
David Davis Meyer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 100, Winston-salem, NC 27103 Phone: 336-768-6347 Fax: 336-760-9393 | |
William Alex Brady, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 250 Executive Park Blvd, Suite 120, Winston-salem, NC 27103 Phone: 336-659-7990 Fax: 336-659-0028 | |
Dr. Barry Neil Williams, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3000 Bethesda Pl, Suite 801 And 802, Winston-salem, NC 27103 Phone: 336-659-9141 Fax: 336-659-1456 | |
Halimena Montclaire Creque, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3000 Bethesda Place #801, Family Behavioral Health, Winston-salem, NC 27103 Phone: 336-659-9141 Fax: 336-659-1456 |