KHOSROW BAHRANI (NPI# 1215982186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215982186 |
| Entity Type | Individual |
| Full Name | KHOSROW BAHRANI |
| Credential | M.D. |
| Practice Address |
3111 Maplewood Ave Suite # 101 Winston-salem NC 27103-3906 |
| Practice Telephone | 3367682162 |
| Practice Fax Number | 3367604119 |
| Mailing Telephone | 3367682162 |
| Mailing Fax Number | 3367604119 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
18353 | NC | Allopathic & Osteopathic Physicians |
| X | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
18353 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 12493 | 01 |
| Street Address |
3111 MAPLEWOOD AVE SUITE # 101 |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750323705 | Bert Bennett IIi | Psychologist | 3111 Maplewood Ave, Suite 105, Winston-salem, NC 27103-3906 | 2006-06-12 |
| 1356383251 | Elizabeth Bennett Townsend | Counselor | 3111 Maplewood Ave, Suite 105, Winston-salem, NC 27103-3906 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649245465 | Rebecca S. Valla | Psychiatry & Neurology | 915 West Fourth Street, Winston-salem, NC 27101 | 2006-02-23 |
| 1932174786 | Ali Jarrahi | Psychiatry & Neurology | 2830 Maplewood Ave, Suite A, Winston-salem, NC 27103-4100 | 2006-02-22 |
| 1487634507 | Halimena Montclaire Creque | Psychiatry & Neurology | 3000 Bethesda Place #801, Family Behavioral Health, Winston-salem, NC 27103 | 2006-01-17 |
| 1548365299 | Katherine Atala | Psychiatry & Neurology | Medical Center Blvd, Winston-salem, NC 27157 | 2006-09-14 |
| 1912926593 | Ravi Telakapalli | Psychiatry & Neurology | Medical Center Blvd, Winston-salem, NC 27157 | 2006-07-18 |
| 1952361610 | Randy D Readling | Psychiatry & Neurology | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-03-27 |
| 1043207616 | Roger Lee Mccauley | Psychiatry & Neurology | 175 Kimel Park Dr, Ste 115, Winston-salem, NC 27103-6951 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851696 | Cana Psychiatric Health | Psychiatry & Neurology | 1846 E Innovation Park Dr #100, Oro Valley, NC 27502-2750 | 2020-11-04 |
| 1750999876 | Integral Mental Healthcare Pllc | Psychiatry & Neurology | 1105 Walnut St Ste F-16031, Cary, NC 27511-4762 | 2020-07-14 |
| 1740808096 | Best Day Psychiatry and Counseling, PC | Psychiatry & Neurology | 4905 Pine Cone Dr Ste 9, Durham, NC 27707-5258 | 2020-07-13 |
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1639792245 | Summit Health Psychiatry, PC | Psychiatry & Neurology | 226 Shannon Rd, Hendersonville, NC 28791-8739 | 2020-05-19 |
| 1083240592 | Sabrina Michelle Campbell | Psychiatry & Neurology | 1601 Brenner Ave Bldg 8-1, Salisbury, NC 28144-2515 | 2020-03-16 |
| 1457986416 | Benjamin Boris Brodey | Psychiatry & Neurology | 201 E Rosemary St, Chapel Hill, NC 27514-3529 | 2020-03-10 |
| 1538794276 | Carolina Psychiatry Center, Pllc | Psychiatry & Neurology | 301 Keisler Dr Ste A, Cary, NC 27518-7018 | 2020-03-03 |
| 1568002608 | Avant Medical Consulting Pllc | Psychiatry & Neurology | 109 Rosegarten Ct, New Bern, NC 28562-1016 | 2020-01-07 |
| 1518503994 | Mental Health Associates and Addiction | Psychiatry & Neurology | 1944 Hendersonville Rd # D-1a, Asheville, NC 28803-2351 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.