Provider Demographics
NPI:1386673093
Name:BERNSTEIN, IRIS BAT-SHEVA (MD)
Entity type:Individual
Prefix:
First Name:IRIS
Middle Name:BAT-SHEVA
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6226 E PIMA ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-7002
Mailing Address - Country:US
Mailing Address - Phone:520-298-7200
Mailing Address - Fax:520-296-0991
Practice Address - Street 1:6226 E PIMA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-7002
Practice Address - Country:US
Practice Address - Phone:520-298-7200
Practice Address - Fax:520-296-0991
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27368208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZG33984Medicare UPIN
AZ72583Medicare ID - Type Unspecified