Bayati, Reza
Bayati, Reza is an sole proprietor health care provider with primary practice located at 1 Medical Plaza Dr Wound Care Clinic, Roseville CA 95661-3037. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bayati, Reza can be contacted via phone (916) 781-1386.Contact Information
Primary practice address
1 Medical Plaza Dr Wound Care Clinic
Roseville CA 95661-3037
Phone: (916) 781-1386
Fax: (916) 781-1456
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 4301066754 | Michigan |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C52426 | California |
Profile Details
NPI number | 1962584920 |
---|---|
LBN Legal business name | Bayati, Reza |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 19th, 2006 |
Last updated | Dec 22nd, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962584920 | NPPES |
Michigan | MEDICAID | 4772285 |
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