Individual provider · NPI-1

Dr. Otarod Bahrani, MD

Internal Medicine · Norfolk, VA

NPI number1609847664
StatusActive
Last updated in NPPESJan 16, 2020

Details

NPI
1609847664
Entity type
Individual (NPI-1)
Name
Dr. Otarod Bahrani
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 30, 2006
Certification date
Jan 16, 2020
Last updated
Jan 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine0101051401VAYes
208M00000X Hospitalist0101051401VA

Practice location

600 Gresham Dr Fl 5
Norfolk, VA 23507-1904

Phone 757-388-3198 · Fax 757-388-4242

Mailing address

600 Gresham Dr Fl 5
Norfolk, VA 23507-1904

Phone 757-388-3198 · Fax 757-388-4242

Other practice locations

825 Fairfax Ave
Suite 445
Norfolk, VA 23507-1914

Phone 757-889-5432 · Fax 757-889-5930

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