Individual
DR. THEKLA BACHARACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
LL37223
SC
2086S0129X
Vascular Surgery Physician
0116033191
VA
2086S0129X
Vascular Surgery Physician
Primary
11588
SD
Other
Enumeration date
06/19/2014
Last updated
10/26/2022
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