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Individual
DR. MICHEL BIDROS
Active
Individual
DR. MICHEL BIDROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
046496
CT
207RH0003X
Hematology & Oncology Physician
0101256852
VA
207RH0003X
Hematology & Oncology Physician
Primary
51394
KY
208M00000X
Hospitalist Physician
046496
CT
390200000X
Student in an Organized Health Care Education/Training Program
046496
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101256852
VA STATE MEDICAL LICENSE
VA
01
—
046496
CT STATE LICENSE
CT
01
—
51394
KY STATE MEDICAL LICENSE
KY
05
—
7100557670
—
KY
05
—
Q082272
—
TN
Enumeration date
06/17/2008
Last updated
05/12/2023
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