MEDICARE: DRS. BACHARACH, VOLKMAN AND ASSOCIATES, L.L.C.

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	2084P0800X	Psychiatry Physician	D0021489	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CJ3824	OTHER	MD	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1336153253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS. BACHARACH, VOLKMAN AND ASSOCIATES, L.L.C.

Provider Business Mailing Address
First Line	:	4801 DORSEY HALL DR
Second Line	:	SUITE 200
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-7749
Country	:	US
Telephone Number	:	410-715-1180
Fax Number	:	410-715-1182

Provider Business Practice Location Address
First Line	:	4801 DORSEY HALL DR
Second Line	:	S 200
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-7749
Country	:	US
Telephone Number	:	410-715-1180
Fax Number	:	410-715-1182

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. RICHARD BACHARACH
Credential	:	MD
Telephone Number	:	410-715-1180

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	11/14/2008

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