# TIMIR SUDHAKER BAMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831230812
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301087231 | MI | — |
| 207RC0000X | Cardiovascular Disease Physician | 4301087231 | MI | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 036-127197 | IL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 4301087231 | MI | — |

## Other

- **Enumeration date:** 02/10/2007
- **Last updated:** 01/04/2012