Healthcare Provider Details

I. General information

NPI: 1497911028
Provider Name (Legal Business Name): BAHRAM ERFAN, MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2008
Last Update Date: 09/02/2025
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5802 NICHOLSON LN APT 804
ROCKVILLE MD
20852-2967
US

IV. Provider business mailing address

PO BOX 2006
GREENBELT MD
20768-2006
US

V. Phone/Fax

Practice location:
  • Phone: 301-881-8076
  • Fax:
Mailing address:
  • Phone: 301-325-3212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BAHRAM N ERFAN
Title or Position: OWNER
Credential: M.D.
Phone: 301-881-8076