| Bahram Forouzandeh Md Psc | |
|
5187 Ky Route 321 Prestonsburg KY 41653-9114 | |
| (606) 886-7471 | |
| (606) 886-7473 |
| Full Name | Bahram Forouzandeh Md Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5187 Ky Route 321, Prestonsburg, Kentucky |
| Authorized Official Name and Position | Bahram Forouzandeh (OWNER) |
| Authorized Official Contact | 6068867471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bahram Forouzandeh Md Psc Po Box 1375 Prestonsburg KY 41653-5375 Ph: (606) 886-7471 | Bahram Forouzandeh Md Psc 5187 Ky Route 321 Prestonsburg KY 41653-9114 Ph: (606) 886-7471 |
| NPI Number | 1295918787 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 05/19/2020 |
| Medicare PECOS PAC ID | 2062408719 |
|---|---|
| Medicare Enrollment ID | O20040420001726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295918787 | NPI | - | NPPES |
| DB3414 | Other | KY | RAILROAD MEDICARE |
| 6431205100 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Bahram Forouzandeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750356788 PECOS PAC ID: 4284620212 Enrollment ID: I20040423001283 |
| Provider Name | Jessica Lynn Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457988040 PECOS PAC ID: 7911328752 Enrollment ID: I20200602002474 |
Homeplace Clinic Prestonsburg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 | |
Prestonsburg Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Regency Park, Prestonsburg, KY 41653 Phone: 606-886-3077 Fax: 606-886-3078 | |
Ayesha M Sikder Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230 Ky Route 321, Suite # 4, Prestonsburg, KY 41653 Phone: 606-886-8880 Fax: 606-886-8628 | |
Blake R Burchett Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 N Lake Dr, Prestonsburg, KY 41653 Phone: 606-886-8466 Fax: 606-886-0250 | |
Highlands Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-886-7600 Fax: 606-886-2218 | |
Arh Medical And Specialty Associates - Prestonsburg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4851 Kentucky Highway 321, Prestonsburg, KY 41653 Phone: 606-886-3831 Fax: 606-886-3440 | |
Compassion Adult Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 N Lake Dr, Prestonsburg, KY 41653 Phone: 606-886-8466 |