Provider Demographics
NPI:1093721813
Name:BAHORIK, CLAUDIA J (DO)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:J
Last Name:BAHORIK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:CORBETT
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1970 ROANOKE BLVD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-6404
Mailing Address - Country:US
Mailing Address - Phone:540-982-2463
Mailing Address - Fax:540-855-3406
Practice Address - Street 1:1970 ROANOKE BLVD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-6404
Practice Address - Country:US
Practice Address - Phone:540-982-2463
Practice Address - Fax:540-855-3406
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007494L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4558274OtherAETNA
MD889312OtherCAREFIRST MD BCBS
PA001474655Medicaid
PA0673277000OtherAMERIHEALTH 65 PA
PA204800OtherJOHNS HOPKINS
PA38408OtherGEISINGER
PA189741OtherHIGHMARK BLUE SHIELD
PAP00348913Medicare PIN
MD889312OtherCAREFIRST MD BCBS
F67446Medicare UPIN