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Individual

HEIDI BAHNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5511 S CONGRESS AVE STE 105, ATLANTIS, FL 33462-1140
(561) 964-1632
(561) 964-1636
Mailing address
5511 S CONGRESS AVE STE 105, ATLANTIS, FL 33462-1140
(561) 964-1632
(561) 964-1636

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME104569
FL
208C00000X
Colon & Rectal Surgery Physician
Primary
ME104569
FL

Other

Enumeration date
02/11/2009
Last updated
01/31/2022
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