MEDICARE: DR. MICHAEL D BAUM 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
1	207W00000X	Ophthalmology Physician	D21236	MD

General Provider Information

NPI Number	:	1689662140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL D BAUM MD

Provider Business Mailing Address
First Line	:	8830 CAMERON CT
Second Line	:	105
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4114
Country	:	US
Telephone Number	:	301-587-1800
Fax Number	:	301-587-1804

Provider Business Practice Location Address
First Line	:	8830 CAMERON CT
Second Line	:	105
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4114
Country	:	US
Telephone Number	:	301-587-1800
Fax Number	:	301-587-1804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	02/22/2010

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