Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Irene Fadullon Bahta, MD

Individual provider Internal Medicine Physician · NPI 1710060793

Dr. Irene Fadullon Bahta, MD is an Internal Medicine Physician in Pembroke Pines, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10794 Pines Blvd Ste 203
Pembroke Pines, FL 33026-3920
Phone: (954) 392-5696
Fax: (954) 392-5668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME71906 (FL)

Record details

NPI number1710060793
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESFebruary 11, 2008

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