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NPI Code Detail

MEDICARE: DR. HENRY A BAKKILA MD

MEDICARE: DR. HENRY A BAKKILA MD
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
1207Q00000XFamily Medicine PhysicianMD027136EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2198345OTHERPAHIGHMARK

General Provider Information

NPI Number : 1962458976
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HENRY A BAKKILA MD
Provider Business Mailing Address
First Line : 600 WATERCREST WAY
Second Line : SUITE 630
City : CHESWICK
State : PA
Zip : 15024-1370
Country : US
Telephone Number : 724-274-9451
Fax Number : 724-274-9370
Provider Business Practice Location Address
First Line : 111 SHERIDAN ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15209-2639
Country : US
Telephone Number : 412-821-2277
Fax Number : 412-821-1453
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 12/01/2011

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