Furkan Bahar, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Roxbury, MA

NPI 1104676964 · NPPES record last updated Mar 25, 2024

Key facts

NPI
1104676964
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
43 Mount Pleasant Ave Apt 3
Roxbury, MA 02119-3853
Phone
(617) 651-7559
NPI assigned
Mar 25, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240722000739 MA Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
8224574777

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: fbahar567226@direct.bilh.masshiway.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

43 Mount Pleasant Ave Apt 3
Roxbury, MA 02119-3853

Mailing address

43 Mount Pleasant Ave Apt 3
Roxbury, MA 02119-3853

Other providers in Roxbury, MA

All providers in Roxbury, MA · Student in an Organized Health Care Education/Training Program in Massachusetts

Sources for this page

Verify at the official NPI Registry.