Individual
DR. SHABIR BHAYANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
116 INTERSTATE PKWY STE 32, BRADFORD, PA 16701
(814) 368-1020
(814) 368-1024
Mailing address
116 INTERSTATE PKWY STE 32, BRADFORD, PA 16701-1036
(814) 368-1020
(814) 368-1024
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1728801
NY
207X00000X
Orthopaedic Surgery Physician
MD038317E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010983320003
—
PA
05
—
01123862
—
NY
01
—
200007157
RAILROAD MEDICARE
PA
01
—
200209173
RAILROAD MEDICARE
NY
Enumeration date
07/07/2005
Last updated
07/12/2019
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