Provider Demographics
NPI:1013903327
Name:SUMBUL-YUKSEL, BAHAR (MD)
Entity Type:Individual
Prefix:DR
First Name:BAHAR
Middle Name:
Last Name:SUMBUL-YUKSEL
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 1:1646 33RD ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-8866
Mailing Address - Country:US
Mailing Address - Phone:407-409-8118
Mailing Address - Fax:407-930-4522
Practice Address - Street 1:1646 33RD ST STE 101
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-8866
Practice Address - Country:US
Practice Address - Phone:407-409-8118
Practice Address - Fax:407-930-4522
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2017-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12829207RR0500X
FLME129081207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVI22699Medicare UPIN