MEDICARE: HUSNA R BAKSH MD PC

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	207R00000X	Internal Medicine Physician	D0043436	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265577118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUSNA R BAKSH MD PC

Provider Business Mailing Address
First Line	:	10750 COLUMBIA PIKE STE 401A
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4402
Country	:	US
Telephone Number	:	301-593-6072
Fax Number	:

Provider Business Practice Location Address
First Line	:	10750 COLUMBIA PIKE STE 2401A
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4402
Country	:	US
Telephone Number	:	301-593-6072
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HUSNA BAKSH
Credential	:	MD
Telephone Number	:	301-593-6072

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	05/28/2019

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Directions to “HUSNA R BAKSH MD PC ” Practice Location

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