Organization
YEMANE B BAHTA MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEMANE B BAHTA MD (PRESIDENT)
(954) 392-5696
Entity
Organization
Contact information
Practice address
10794 PINES BLVD, 203, PEMBROKE PINES, FL 33026-3920
(954) 392-5696
(954) 392-5668
Mailing address
PO BOX 260101, PEMBROKE PINES, FL 33026-7101
(954) 392-5696
(954) 392-5668
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME71889
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252020600
—
FL
Enumeration date
02/16/2015
Last updated
02/16/2015
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