Provider Demographics
NPI:1316043706
Name:PASTAKIA, BEHRAM NMI (MD)
Entity Type:Individual
Prefix:MR
First Name:BEHRAM
Middle Name:NMI
Last Name:PASTAKIA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8715 IRVINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-3605
Mailing Address - Country:US
Mailing Address - Phone:202-745-8000
Mailing Address - Fax:202-745-2269
Practice Address - Street 1:VAMC 50 IRVING ST NW
Practice Address - Street 2:RADIOLOGY SERVICE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-0001
Practice Address - Country:US
Practice Address - Phone:202-745-8000
Practice Address - Fax:202-745-2269
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
WI23614020207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy