Bahru LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BAHRU LLC

Practice address

122 Morven Park Rd NW
Leesburg, VA 20176-2024

Phone

(571) 246-3628

NPI assigned

Jun 3, 2024

Last updated

Jun 3, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Membere Bahru, MD

Title

Owner

Phone

(571) 246-3628

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Menbere Bahru, MD

  • Internal Medicine Physician
  • Winchester, VA
  • NPI 1528130218
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1508607722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43713 RED HOUSE DR",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761628",
            "telephone_number": "571-246-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 MORVEN PARK RD NW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762024",
            "telephone_number": "571-246-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAHRU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "BAHRU",
        "authorized_official_first_name": "MEMBERE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-246-3628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Jean Bache, PA
• Marianne Ranere Bacon, CRNA
• Mehrnoosh Karizi Badiee, OD
• Mahin Baha
• Amanda Gayle Bahlman, LMT
• Nicole Baig, D.O.
• Tobey Lynn Balazs, FNP
• Audrey Lynn Balicki, CRNA
• Shehnaz Baloch, RBT
• Kierra Shaunice Baltimore

• Internal Medicine Physician in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.