DR. RAMIN BAHRAM D.M.D NPI 1881796985

NPI Information

NPI: 1881796985
Provider Name: DR. RAMIN BAHRAM, D.M.D
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
2546 S BROAD ST
PHILADELPHIA, PA
ZIP 19145
Phone: (215) 463-4141
Get Directions

DR. Ramin Bahram, D.M.D is an oral and maxillofacial surgery dentist in Philadelphia, PA. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Ramin Bahram, D.M.D NPI is 1881796985. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2546 S BROAD ST
PHILADELPHIA, PA
ZIP 19145-638
Phone: (215) 463-4141
Fax: (215) 463-7616

The enumeration date for this NPI number is 9/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DS030599L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	U96058	MEDICARE UPIN	PENNSYLVANIA
2	71507	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
3	1954168	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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