MEDICARE: RAHUL GEETENDRA BAIJAL M.D.

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	207LP3000X	Pediatric Anesthesiology Physician	L9083	TX

General Provider Information

NPI Number	:	1821130782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAHUL GEETENDRA BAIJAL M.D.

Provider Business Mailing Address
First Line	:	2620 FAIT AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21224-3725
Country	:	US
Telephone Number	:	713-256-0633
Fax Number	:

Provider Business Practice Location Address
First Line	:	6621 FANNIN ST STE A3300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2373
Country	:	US
Telephone Number	:	832-824-5800
Fax Number	:

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

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	05/21/2024

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