Basic Information
Provider Information
NPI: 1548349004
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BICHAI
FirstName: WILLIAM
MiddleName: N.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3900 SAN DIMAS ST
Address2:  
City: BAKERSFIELD
State: CA
PostalCode: 933011458
CountryCode: US
TelephoneNumber: 6613278000
FaxNumber: 6613278020
Practice Location
Address1: 15202 THUNDER VALLEY RD
Address2:  
City: BAKERSFIELD
State: CA
PostalCode: 933147222
CountryCode: US
TelephoneNumber: 6613278000
FaxNumber: 6613278020
Other Information
ProviderEnumerationDate: 11/03/2006
LastUpdateDate: 09/28/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300XA92564CAY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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