Individual
THOMAS ANTHONY BAHLEDA
Active
Individual
THOMAS ANTHONY BAHLEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101238634
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010197473
—
VA
01
—
1000870001
DME PROVIDER
VA
01
—
180765
ANTHEM/BCBS
—
01
—
322621
SOUTHERN HEALTH
—
01
—
3810003095
WV MEDICAID
WV
01
—
8411004
CIGNA
VA
01
—
97056
OPTIMA
VA
01
—
P00269548
RAILROAD MEDICARE
—
Enumeration date
07/30/2006
Last updated
11/20/2009
Update your record
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