MEDICARE: DR. SABRY E BAKR 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	208000000X	Pediatrics Physician	A53098	CA

General Provider Information

NPI Number	:	1710985569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SABRY E BAKR M.D.

Provider Business Mailing Address
First Line	:	36320 INLAND VALLEY DR
Second Line	:	SUITE 207
City	:	WILDOMAR
State	:	CA
Zip	:	92595-7512
Country	:	US
Telephone Number	:	951-698-5446
Fax Number	:	951-698-0143

Provider Business Practice Location Address
First Line	:	36320 INLAND VALLEY DR
Second Line	:	SUITE 207
City	:	WILDOMAR
State	:	CA
Zip	:	92595-7512
Country	:	US
Telephone Number	:	951-698-5446
Fax Number	:	951-698-0143

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	09/07/2010

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