Provider Demographics
NPI:1518106137
Name:DHAR, BURHAN SYED I
Entity Type:Individual
Prefix:MR
First Name:BURHAN
Middle Name:SYED
Last Name:DHAR
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:BURHAN
Other - Middle Name:SYED
Other - Last Name:DHAR
Other - Suffix:I
Other - Last Name Type:Former Name
Other - Credentials:CPO
Mailing Address - Street 1:332 E COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832
Mailing Address - Country:US
Mailing Address - Phone:714-738-4769
Mailing Address - Fax:714-871-4816
Practice Address - Street 1:332 E COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-2017
Practice Address - Country:US
Practice Address - Phone:714-738-4769
Practice Address - Fax:714-871-4816
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist