Individual
THOMAS ANTHONY BAHLEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 CANTRELL AVE, HARRISONBURG, VA 22801-3248
(540) 564-7364
(540) 564-7365
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 564-5791
(540) 564-7038
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
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