Provider Demographics
NPI:1750483327
Name:KURDI, BACHAR (MD)
Entity Type:Individual
Prefix:DR
First Name:BACHAR
Middle Name:
Last Name:KURDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:14252 CULVER DR
Mailing Address - Street 2:PMB903
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-0317
Mailing Address - Country:US
Mailing Address - Phone:714-546-5967
Mailing Address - Fax:714-546-5970
Practice Address - Street 1:11100 WARNER AVE
Practice Address - Street 2:SUITE 254
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7506
Practice Address - Country:US
Practice Address - Phone:714-546-5967
Practice Address - Fax:714-546-5970
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2012-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA69719207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA69719OtherMEDICAL LICENSE