Bahram Omidian MD

NPI 1073503306 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1073503306
Gender Male
Enumeration Date 10/27/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2209 GENESEE ST
UTICA NY, 13501-5930, US
Phone (315) 798-8100
Fax (315) 798-8391
Business Location
2209 GENESEE ST
UTICA NY, 13501-5930, US
Phone (315) 798-8100
Fax (315) 798-8391
Toxanomy
Taxonomy Code 2084P0800X
License State New York
License Number 148372-0
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According to our database, Bahram Omidian MD NPI is 1073503306, taxonomy code is 2084P0800X and license number is 148372-0, license state is located at New York. Bahram Omidian MD physically located at 2209 Genesee St, Utica NY, 13501-5930. NPI Number Bahram Omidian MD has the Individual type.

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1073503306 NPI number is provided on an as is basis without warranty of any kind. 1073503306 is maintained by the National Plan & Provider Enumeration System. The contents of Bahram Omidian MD are for informational purposes only.