Healthcare Provider Details

I. General information

NPI: 1346940897
Provider Name (Legal Business Name): BAYSAL ORTHOPEDIC INSTITUTE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2023
Last Update Date: 05/04/2023
Certification Date: 05/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9876 N YORKTOWN DR
FRESNO CA
93720-1340
US

IV. Provider business mailing address

9876 N YORKTOWN DR
FRESNO CA
93720-1340
US

V. Phone/Fax

Practice location:
  • Phone: 814-330-7686
  • Fax: 866-864-8671
Mailing address:
  • Phone: 814-330-7686
  • Fax: 866-864-8671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DENIZ BAYSAL
Title or Position: PROVIDER
Credential: MD
Phone: 814-330-7686