| Bahta And Associates Inc | |
|
10794 Pines Blvd Ste 203 Pembroke Pines FL 33026-3920 | |
| (954) 392-5696 | |
| (954) 392-5668 |
| Full Name | Bahta And Associates Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10794 Pines Blvd Ste 203, Pembroke Pines, Florida |
| Authorized Official Name and Position | Irene Fadullon Bahta (PRESIDENT) |
| Authorized Official Contact | 9543925696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bahta And Associates Inc Po Box 260101 Pembroke Pines FL 33026-7101 Ph: (954) 392-5696 | Bahta And Associates Inc 10794 Pines Blvd Ste 203 Pembroke Pines FL 33026-3920 Ph: (954) 392-5696 |
| NPI Number | 1124220967 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 12/06/2010 |
| Medicare PECOS PAC ID | 0547202723 |
|---|---|
| Medicare Enrollment ID | O20050527000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124220967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Irene F Bahta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710060793 PECOS PAC ID: 6800838087 Enrollment ID: I20100126000573 |
| Provider Name | Yemane B Bahta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316020316 PECOS PAC ID: 9739221987 Enrollment ID: I20100126000603 |
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