Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 279097 | NY |
Y | 111NI0900X | Internist | 279097 | NY |
NPI | 1003106113 |
---|---|
Provider Name | Dr. Hasan Bayat |
First Address | Lehighton, PA 18235-1138 |
Second Address | Lehighton, PA 18235-1138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2011 |
Last Update Date | 12/10/2016 |