Barda, Raphael Ezra

Barda, Raphael Ezra is an individual health care provider with primary practice located at 1208 E Prosperity Ave #233, Tulare CA 93274-8050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Barda, Raphael Ezra can be contacted via phone (559) 686-4671.

Contact Information

Primary practice address
1208 E Prosperity Ave #233 Tulare CA 93274-8050
Phone: (559) 686-4671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C52219 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD063204L Pennsylvania

Profile Details

NPI number 1538255682
LBN Legal business name Barda, Raphael Ezra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 15th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538255682 NPPES
Pennsylvania MEDICAID 01759314

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