Provider Demographics
NPI:1063654846
Name:BIKELLE, BIH (MD)
Entity Type:Individual
Prefix:DR
First Name:BIH
Middle Name:
Last Name:BIKELLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 LAKE FORREST DR STE 107
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5902
Mailing Address - Country:US
Mailing Address - Phone:678-941-6191
Mailing Address - Fax:904-886-0382
Practice Address - Street 1:6000 LAKE FORREST DR STE 107
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5902
Practice Address - Country:US
Practice Address - Phone:678-941-6191
Practice Address - Fax:904-886-0382
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA823102084P0800X, 2084P0800X
FLME1226822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015348900Medicaid