Provider Demographics
NPI:1891258430
Name:BAHRAMIRAD, AREZOO (MD)
Entity Type:Individual
Prefix:
First Name:AREZOO
Middle Name:
Last Name:BAHRAMIRAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AREZOO
Other - Middle Name:
Other - Last Name:MIRAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:191 E ORCHARD RD STE 300
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80121-8058
Mailing Address - Country:US
Mailing Address - Phone:303-788-3100
Mailing Address - Fax:
Practice Address - Street 1:191 E ORCHARD RD STE 300
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80121-8058
Practice Address - Country:US
Practice Address - Phone:303-788-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program