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NPI Code Detail

MEDICARE: DR. SASHA KORIE BAKER M.D.

MEDICARE: DR. SASHA KORIE BAKER 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
1207R00000XInternal Medicine Physician006671GA
2208M00000XHospitalist PhysicianME12598FL
3207R00000XInternal Medicine PhysicianME129597FL

General Provider Information

NPI Number : 1972943454
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SASHA KORIE BAKER M.D.
Provider Business Mailing Address
First Line : 11700 OKEECHOBEE BLVD
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-8721
Country : US
Telephone Number : 561-790-0789
Fax Number :
Provider Business Practice Location Address
First Line : 11700 OKEECHOBEE BLVD
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-8721
Country : US
Telephone Number : 561-790-0789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2013
Last Update Date : 01/02/2024

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