Healthcare Provider Details

I. General information

NPI: 1467131169
Provider Name (Legal Business Name): PINKY BAI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date: 02/20/2024
Reactivation Date: 04/29/2024

III. Provider practice location address

1350 WALTON WAY
AUGUSTA GA
30901-2612
US

IV. Provider business mailing address

2041 GEORGIA AVE NW SUITE 5C26
WASHINGTON DC
20060
US

V. Phone/Fax

Practice location:
  • Phone: 706-774-5795
  • Fax:
Mailing address:
  • Phone: 202-865-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number111314
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: