Provider Demographics
NPI:1215776174
Name:NADAR, BAHIRAH
Entity type:Individual
Prefix:
First Name:BAHIRAH
Middle Name:
Last Name:NADAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 ASBURY TER
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19126-2303
Mailing Address - Country:US
Mailing Address - Phone:215-720-5025
Mailing Address - Fax:
Practice Address - Street 1:906 ASBURY TER
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19126-2303
Practice Address - Country:US
Practice Address - Phone:215-720-5025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care