Provider Demographics
NPI:1922449941
Name:BAHAR, BURAK (MD)
Entity Type:Individual
Prefix:DR
First Name:BURAK
Middle Name:
Last Name:BAHAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 CEDAR STREET
Mailing Address - Street 2:YUSM, DEPARTMENT OF PATHOLOGY
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8070
Mailing Address - Country:US
Mailing Address - Phone:203-737-2115
Mailing Address - Fax:
Practice Address - Street 1:310 CEDAR STREET
Practice Address - Street 2:YUSM, DEPARTMENT OF PATHOLOGY
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06520-8070
Practice Address - Country:US
Practice Address - Phone:203-737-2115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT55324207ZB0001X, 207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine