Individual
DR. AHMAD K BAYRAKDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655
(508) 334-3068
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036049153
IL
207RG0100X
Gastroenterology Physician
01068653A
IN
207RG0100X
Gastroenterology Physician
Primary
291590
MA
207RG0100X
Gastroenterology Physician
35.142897
OH
207RG0100X
Gastroenterology Physician
MD433241
PA
207RG0100X
Gastroenterology Physician
MD5712
DC
207RG0100X
Gastroenterology Physician
MD60903183
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000673602
ANTHEM PROVIDER NUMBER
IN
05
—
200992410
—
IN
Enumeration date
08/18/2006
Last updated
08/09/2022
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