Provider Demographics
NPI:1588613251
Name:BAHLS, FREDRICK HOWARD (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:FREDRICK
Middle Name:HOWARD
Last Name:BAHLS
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:VA CENTRAL IOWA HEALTHCARE SYSTEM
Mailing Address - Street 2:3600 30TH ST
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-5753
Mailing Address - Country:US
Mailing Address - Phone:515-699-5825
Mailing Address - Fax:515-699-5906
Practice Address - Street 1:VA CENTRAL IOWA HEALTHCARE SYSTEM
Practice Address - Street 2:3600 30TH ST
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-5753
Practice Address - Country:US
Practice Address - Phone:515-699-5825
Practice Address - Fax:515-699-5906
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IA275332084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology