Individual
IRYNA BAHDZEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10160 BUSTLETON AVE, PHILADELPHIA, PA 19116-3749
(215) 677-0501
Mailing address
10160 BUSTLETON AVE STE B, PHILADELPHIA, PA 19116-3749
(215) 677-0501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11674600
NJ
207R00000X
Internal Medicine Physician
Primary
MD479846
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
07/02/2023
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