Provider Demographics
NPI:1821173253
Name:BRYAN, ALBERT RAHR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:RAHR
Last Name:BRYAN
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:PROSPECT MIRA 26/6
Mailing Address - Street 2:AMERICAN MEDICAL CENTER
Mailing Address - City:MOSCOW
Mailing Address - State:MOSCOW OBLAST
Mailing Address - Zip Code:129090
Mailing Address - Country:RU
Mailing Address - Phone:7095-933-7700
Mailing Address - Fax:933-7702
Practice Address - Street 1:PROSPECT MIRA 26/6
Practice Address - Street 2:AMERICAN MEDICAL CENTER
Practice Address - City:MOSCOW
Practice Address - State:MOSCOW OBLAST
Practice Address - Zip Code:129090
Practice Address - Country:RU
Practice Address - Phone:7095-933-7700
Practice Address - Fax:933-7702
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14778207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease