Provider Demographics
NPI:1336153253
Name:DRS. BACHARACH, VOLKMAN AND ASSOCIATES, L.L.C.
Entity type:Organization
Organization Name:DRS. BACHARACH, VOLKMAN AND ASSOCIATES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BACHARACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-715-1180
Mailing Address - Street 1:4801 DORSEY HALL DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7749
Mailing Address - Country:US
Mailing Address - Phone:410-715-1180
Mailing Address - Fax:410-715-1182
Practice Address - Street 1:4801 DORSEY HALL DR
Practice Address - Street 2:S 200
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-7749
Practice Address - Country:US
Practice Address - Phone:410-715-1180
Practice Address - Fax:410-715-1182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00214892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDCJ3824OtherRAILROAD MEDICARE
MD176LMedicare PIN