Provider Demographics
NPI:1356860332
Name:BACHIR, MOLLY ALREICHAN
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:ALREICHAN
Last Name:BACHIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9526 N WINERY AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-4600
Mailing Address - Country:US
Mailing Address - Phone:559-269-3028
Mailing Address - Fax:559-322-5182
Practice Address - Street 1:9526 N WINERY AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-4600
Practice Address - Country:US
Practice Address - Phone:559-269-3028
Practice Address - Fax:559-322-5182
Is Sole Proprietor?:No
Enumeration Date:2017-09-11
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95007214207V00000X, 208000000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics