HomeNPI Verification

NPI Verification

National Provider Identifier: 1063090207

Keenan Bayrakdar

Individual Provider

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (3)

Internal Medicine

Code: 207R00000X

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

1725 W HARRISON ST

CHICAGO, IL 606123841

NPI Enumeration Date

March 30, 2021

NPI Number

1063090207

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry