MEDICARE: ELIANA BITAR 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	207V00000X	Obstetrics & Gynecology Physician	4301084233	MI
2	207VX0000X	Obstetrics Physician	4301084233	MI

Other Identifiers

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

General Provider Information

NPI Number	:	1770793416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIANA BITAR M.D.

Provider Business Mailing Address
First Line	:	14461 FORD RD
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-3174
Country	:	US
Telephone Number	:	313-551-4008
Fax Number	:	313-254-2987

Provider Business Practice Location Address
First Line	:	14461 FORD RD
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-3174
Country	:	US
Telephone Number	:	313-551-4008
Fax Number	:	313-254-2987

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	11/12/2025

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