Healthcare Provider Details

I. General information

NPI: 1982336145
Provider Name (Legal Business Name): NADIA BAKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 10/02/2022
Certification Date: 10/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 E 5TH AVE
YORK PA
17404-2512
US

IV. Provider business mailing address

351 CHESTNUT ST APT 1008
HARRISBURG PA
17101-2784
US

V. Phone/Fax

Practice location:
  • Phone: 717-460-8808
  • Fax:
Mailing address:
  • Phone: 717-686-9012
  • Fax: 717-356-0895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: