Provider Demographics
NPI:1417156035
Name:BEKHRAD, AZIN ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:AZIN
Middle Name:ELIZABETH
Last Name:BEKHRAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5129 WATCHWOOD PATH
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-5708
Mailing Address - Country:US
Mailing Address - Phone:301-787-9414
Mailing Address - Fax:410-727-5358
Practice Address - Street 1:JOHNS HOPKINS HOSPITAL
Practice Address - Street 2:CMSC 376, 600 NORTH WOLFE STREET
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-955-7858
Practice Address - Fax:410-727-5853
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00608162084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry