| Doctor Name: | REBECCA DENISE BAHADAR |
| NPI Number: | 1689067159 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 0024172359 |
| Business Practice Address: | 2246 George Washington Memorial Hwy Hayes, VA - 230723559 |
| Business Phone Number: | 8046425656 |
| Business Fax Number: | |
| Mailing Address: | 856 J Clyde Morris Blvd, Suite A NEWPORT NEWS |
| State: | VA |
| Postal Code: | 236011318 |
| Phone Number: | 7575944006 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2015 |
| NPI Last Update Date: | 03/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024172359 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |