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Contact Information

AHMAD K BAYRAKDAR, MD
55 LAKE AVE N
WORCESTER, MA01655
 Phone: 508-334-3068
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AHMAD K BAYRAKDAR · (Male)

NPI # 1275647125
Status Active
Credentials MD
Entity Individual
Enumeration date 08/18/2006
Last updated 08/09/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • DC License # MD5712
  • IL License # 036049153
  • IN License # 01068653A
  • MA License # 291590
  • OH License # 35.142897
  • PA License # MD433241
  • WA License # MD60903183
  • IN Medicaid 200992410
  • IN Other 000000673602 ANTHEM PROVIDER NUMBER
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    375 DIXMYTH AVENUE
    CINCINNATI, OH 45220
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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