Look up the most recent NPI and PECOS records

Bahram Khazai

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Bahram Khazai is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1275789299
Provider Type
Individual
Full Name
Khazai, Bahram
Title
Dr.
Credential
M.D

Gender
Male
Sole Proprietor
No
Enumeration Date
8/10/2008
Last Updated
10/29/2013

Contact Information

Practice Location

1475 NW 12th Ave, Miami, FL 33136-1002

(305) 243-3636

(305) 243-6575

Mailing Location

1475 NW 12th Ave, Miami, FL 33136-1002

(305) 243-3636

(305) 243-6575

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME116208 Florida
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Bahram Khazai

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Urrea, Bruno

Khakoo, Nidah Shabbir

Olivera Arencibia, Yanetsy

Gummalla, Raja Ramesh

University Of Miami

Public Health Trust Of Dade County Florida

Guzman, Lilliam B

Zaw, Khin M

Berger, Scott Louis

Gonzalez, Samantha Marie