MRS. SOON BAHRAMI (NPI# 1770781254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770781254 |
| Entity Type | Individual |
| Full Name | MRS. SOON BAHRAMI |
| Credential | M.D. |
| Practice Address |
3810 Springhurst Blvd Suite 200 Louisville KY 40241 |
| Mailing Address |
Po Box 950132 Louisville KY 40295-0132 |
| Practice Telephone | 5025831749 |
| Practice Fax Number | 5023298184 |
| Mailing Telephone | 8889808992 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2018-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
40124 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7160069390 | 05 |
| Street Address |
3810 SPRINGHURST BLVD SUITE 200 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518971142 | Shannon M. Mcallister | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2006-07-28 |
| 1871025379 | Robert Spaulding | Student in an Organized Health Care Education/Training Program | 3810 Springhurst Blvd, Louisville, KY 40241 | 2017-04-03 |
| 1770946196 | Megan Wetzel | Student in an Organized Health Care Education/Training Program | 3810 Springhurst Blvd, Louisville, KY 40241-6162 | 2016-04-02 |
| 1093173627 | Kathryn A West-pfingston | Nurse Practitioner | 3810 Springhurst Blvd, #200, Louisville, KY 40241 | 2016-02-10 |
| 1457770570 | Laura Taylor | Student in an Organized Health Care Education/Training Program | 3810 Springhurst Blvd, Louisville, KY 40241-6162 | 2014-04-16 |
| 1558650291 | Mark Tye Haeberle | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2011-04-04 |
| 1073837845 | Michael Mccall Jr. | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2010-03-22 |
| 1831326552 | Jonathan David Gambrell | Ophthalmology | 3810 Springhurst Blvd, Louisville, KY 40241-6100 | 2009-06-20 |
| 1346440583 | Thomas Wayne Harper | Ophthalmology | 3810 Springhurst Blvd, Suite 100, Louisville, KY 40241-6100 | 2007-07-24 |
| 1801090394 | Courtney Reynolds Schadt | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2007-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689927576 | Associate In Dermatology and Dermatopathology Pllc | Dermatology | 1700 Old Bluegrass Ave Ste 200, Louisville, KY 40215-1174 | 2012-10-17 |
| 1386619203 | James Robert Wharton | Dermatology | 13802 Lake Point Cir Ste 102, Louisville, KY 40223-4219 | 2006-02-22 |
| 1023094646 | Vilma C Fabre | Dermatology | 2211 Greene Way, Ste 100, Louisville, KY 40220-4076 | 2005-12-15 |
| 1023409612 | Dermatopathology Consultants of Kentucky Pllc | Dermatology | 2211 Greene Way, Suite 100, Louisville, KY 40220-4076 | 2015-02-18 |
| 1487758983 | Scheen & Smith, P.s.c. | Dermatology | 3950 Kresge Way, Suite 305, Louisville, KY 40207-4637 | 2006-09-13 |
| 1013925106 | Skin Group Pllc | Dermatology | 2211 Greene Way, Ste 100, Louisville, KY 40220-4076 | 2006-08-04 |
| 1225044639 | Janine C Malone | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2006-07-31 |
| 1629083399 | Associates In Dermatology, Pllc | Dermatology | 3810 Springhurst Blvd, Suite 200, Louisville, KY 40241 | 2006-07-30 |
| 1073516258 | Steven J Hodge | Dermatology | 310 E Broadway, Ste 200, Louisville, KY 40202-1745 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649479460 | Jacqueline Granese | Dermatology | 1065 Ashley St Ste 200, Bowling Green, KY 42103-3401 | 2007-07-12 |
| 1255851200 | Regional Dermatology Pllc | Dermatology | 989 Governors Ln Ste 220, Lexington, KY 40513-1175 | 2017-06-21 |
| 1083736557 | Harty Elouise Ashby | Dermatology | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2007-04-04 |
| 1629197397 | Dermatology Associates of Northern Kentucky Psc | Dermatology | 7766 Ewing Blvd, Ste 100, Florence, KY 41042-7538 | 2007-03-27 |
| 1033189295 | Leigh Ann Carter Beard | Dermatology | 1401 Harrodsburg Rd, Suite C415, Lexington, KY 40504-3751 | 2006-01-23 |
| City | LOUISVILLE |
| Zip Code | 40241 |
Please comment or provide details below to improve the information on MRS. SOON BAHRAMI.
| 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.