Provider Demographics
NPI:1710942446
Name:BARIS, BAHADIR (MD)
Entity Type:Individual
Prefix:
First Name:BAHADIR
Middle Name:
Last Name:BARIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 RIVER RD STE 402
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-4579
Mailing Address - Country:US
Mailing Address - Phone:706-660-9499
Mailing Address - Fax:706-660-9343
Practice Address - Street 1:5900 RIVER RD STE 402
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-4579
Practice Address - Country:US
Practice Address - Phone:706-660-9499
Practice Address - Fax:706-660-9343
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA040305207RP1001X, 207RC0200X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00763243DMedicaid
GA00763243DMedicaid
G16728Medicare UPIN