Provider Demographics
NPI:1811133556
Name:BAKALAR, RICHARD SHELDON (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SHELDON
Last Name:BAKALAR
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 1:9143 E STAR HILL TRL
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5410
Mailing Address - Country:US
Mailing Address - Phone:303-790-6066
Mailing Address - Fax:
Practice Address - Street 1:9143 E STAR HILL TRL
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5410
Practice Address - Country:US
Practice Address - Phone:303-790-6066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-31
Last Update Date:2008-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD32217207R00000X, 207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine