MEDICARE: DR. WILLIAM N. BICHAI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	A92564	CA

General Provider Information

NPI Number	:	1548349004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM N. BICHAI M.D.

Provider Business Mailing Address
First Line	:	3900 SAN DIMAS ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93301-1458
Country	:	US
Telephone Number	:	661-327-8000
Fax Number	:	661-327-8020

Provider Business Practice Location Address
First Line	:	15202 THUNDER VALLEY RD
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93314-7222
Country	:	US
Telephone Number	:	661-327-8000
Fax Number	:	661-327-8020

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	09/28/2017

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