Provider Demographics
NPI:1174669360
Name:BOCHKAREV, BELA YURI (MD)
Entity Type:Individual
Prefix:MRS
First Name:BELA
Middle Name:YURI
Last Name:BOCHKAREV
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 1:5665 ATLANTA HIGHWAY
Mailing Address - Street 2:SUITE 103-102
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004
Mailing Address - Country:US
Mailing Address - Phone:800-980-6511
Mailing Address - Fax:866-783-1708
Practice Address - Street 1:6 GENTRY LN
Practice Address - Street 2:
Practice Address - City:UXBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01569-1612
Practice Address - Country:US
Practice Address - Phone:508-278-3174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1564872084P0800X
OK141252084P0800X
PAMD031267E2084P0800X
VA01010362112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry