| Doctor Name: | BARDIA AMIRLAK |
| NPI Number: | 1063543700 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 40203 |
| Business Practice Address: | 1 Riverpointe Plz Apt 702 Jeffersonville, IN - 471303210 |
| Business Phone Number: | 4029683528 |
| Business Fax Number: | |
| Mailing Address: | 1 Riverpointe Plz Apt 702, JEFFERSONVILLE |
| State: | IN |
| Postal Code: | 471303210 |
| Phone Number: | 4029683528 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0105X |
| License Number: | 40203 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Surgery of the Hand |
| Taxonomy Definition: | A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |