Provider Demographics
NPI:1861710535
Name:BAYDAR, ISIK DUNDAR (MD)
Entity type:Individual
Prefix:DR
First Name:ISIK
Middle Name:DUNDAR
Last Name:BAYDAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:CEDARTOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30125-2241
Mailing Address - Country:US
Mailing Address - Phone:770-748-7117
Mailing Address - Fax:
Practice Address - Street 1:204 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:CEDARTOWN
Practice Address - State:GA
Practice Address - Zip Code:30125-2241
Practice Address - Country:US
Practice Address - Phone:770-748-7117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA014231207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine