Individual
DR. MATTHEW AARON BAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5300 FAR HILLS AVE., DAYTON, OH 45429-2347
(937) 433-7536
(937) 433-9612
Mailing address
5300 FAR HILLS AVE., DAYTON, OH 45429-2381
(937) 433-7536
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35.085554
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000507328
ANTHEM BC/BS
OH
01
—
0301513
UNITED HEALTH CARE
OH
01
—
4155470
CIGNA
OH
01
—
5763103
COVENTRY HEALTH
OH
01
—
7952862
AETNA
OH
01
—
P00416667
RAILROAD MEDICARE
OH
Enumeration date
10/03/2006
Last updated
06/08/2017
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