| Dr Thomas J Bahk, MD | |
| 
					350 W Thomas Rd, Attn: Picu, Phoenix, AZ 85013-4409  | |
| (602) 406-3241 | |
| Not Available | 
| Full Name | Dr Thomas J Bahk | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Critical Care Medicine | 
| Location | 350 W Thomas Rd, Phoenix, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912970856 | NPI | - | NPPES | 
| 954801 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 34406 (Arizona) | Primary | 
| Entity Name | Faculty Physicians And Surgeons Of Llusm | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981  | 
| Entity Name | Southern California Permanente Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Thomas J Bahk, MD 13820 S 44th St, #1197, Phoenix, AZ 85044-4849 Ph: (480) 626-7144  | Dr Thomas J Bahk, MD 350 W Thomas Rd, Attn: Picu, Phoenix, AZ 85013-4409 Ph: (602) 406-3241  | 
Dr. Amit Rajaram, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0198  | |
Laura Gardner Hamant,  Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000  | |
Dr. Patricia Ranjinee Halpe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3141 N 3rd Ave, Phoenix, AZ 85013 Phone: 602-914-1520 Fax: 602-914-1521  | |
Dr. Angela Monique Valdez-huizar, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3333 E Van Buren St, Phoenix, AZ 85008 Phone: 602-933-0945 Fax: 602-933-4263  | |
Benjmamin Thomas Carlson, PTA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5314 N 7th St, Phoenix, AZ 85014 Phone: 602-277-5006  | |
Julianna Diddle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000  | |
Alexandra Palacios,  Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0945  |