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NPI Code Detail

MEDICARE: MICHAEL N BAAKO MD

MEDICARE:   MICHAEL N BAAKO  MD
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
1207R00000XInternal Medicine PhysicianD0057216MD
2207R00000XInternal Medicine PhysicianC1-0006365DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18107145/ 2107145OTHERMAMSI
2667490OTHERNCPPO
37457439OTHERMDAETNA
40404202OTHERUNITED HEALTHCARE
55455054OTHERCCN NETWORK
6H816-0001OTHERMDBCBS NATIONAL CAPITAL

General Provider Information

NPI Number : 1336245323
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL N BAAKO MD
Provider Business Mailing Address
First Line : PO BOX 4737
Second Line :
City : SILVER SPRING
State : MD
Zip : 20914-4737
Country : US
Telephone Number : 240-295-0502
Fax Number : 240-295-0503
Provider Business Practice Location Address
First Line : 3450 FORT MEADE RD
Second Line : SUITE 209
City : LAUREL
State : MD
Zip : 20724-2040
Country : US
Telephone Number : 240-295-0502
Fax Number : 240-295-0503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 07/08/2007

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Directions to “ MICHAEL N BAAKO MD” Practice Location

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