1124167986 NPI number — BILGA ATTAR MD PA

Table of content: (NPI 1124167986)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124167986 NPI number — BILGA ATTAR MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BILGA ATTAR MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124167986
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/21/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2800 S OCEAN BLVD
Provider Second Line Business Mailing Address:
APT 20A
Provider Business Mailing Address City Name:
BOCA RATON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33432-8332
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-750-8809
Provider Business Mailing Address Fax Number:
561-347-1648

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2800 S OCEAN BLVD
Provider Second Line Business Practice Location Address:
APT 20A
Provider Business Practice Location Address City Name:
BOCA RATON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33432-8332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-750-8809
Provider Business Practice Location Address Fax Number:
561-347-1648
Provider Enumeration Date:
02/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ATTAR
Authorized Official First Name:
BILGA
Authorized Official Middle Name:
F
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
561-750-8809

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  ME 00603031 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 010065687 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 23491 . This is a "BLUE CROSS BLUE SHIELD OF FLA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 23491A . This is a "MEDICARE INDIVIDUAL PIN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 000604195 . This is a "APWU" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 0004626119 . This is a "AETNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: N219688 . This is a "WELLCARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: S1444 . This is a "EMPIRE BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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