MEDICARE: RIGGS PEDIATRIC CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	D0044970	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	23790001	OTHER	DC	BC DC/METRO
2	299702	OTHER	MD	UNITED HEALTHCARE
3	KBD1R1	OTHER	MD	BC/BS OF MARYLAND

General Provider Information

NPI Number	:	1194721514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIGGS PEDIATRIC CENTER

Provider Business Mailing Address
First Line	:	1835 UNIVERSITY BLVD E
Second Line	:	STE 316
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-4672
Country	:	US
Telephone Number	:	301-434-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1835 UNIVERSITY BLVD E
Second Line	:	STE 316
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-4672
Country	:	US
Telephone Number	:	301-434-3700
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	FARIBA BAGHAI
Credential	:	M.D.
Telephone Number	:	301-434-3700

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	01/31/2008

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Directions to “RIGGS PEDIATRIC CENTER ” Practice Location

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