Healthcare Provider Details

I. General information

NPI: 1497616148
Provider Name (Legal Business Name): BAKARIKA CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10711 RED RUN BLVD STE 101
OWINGS MILLS MD
21117-5138
US

IV. Provider business mailing address

10711 RED RUN BLVD STE 101
OWINGS MILLS MD
21117-5138
US

V. Phone/Fax

Practice location:
  • Phone: 443-883-8634
  • Fax: 240-565-0741
Mailing address:
  • Phone: 443-883-8634
  • Fax: 240-565-0741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: BAKARI CHAKHMAKHASHVILI
Title or Position: PRESIDENT
Credential:
Phone: 443-883-8634