MEDICARE: ANNA VALENTINOVNA BAER M.D., PH.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
1	2085N0700X	Neuroradiology Physician	87940	GA

General Provider Information

NPI Number	:	1316316607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA VALENTINOVNA BAER M.D., PH.D.

Provider Business Mailing Address
First Line	:	1001 JOHNSON FY RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1605
Country	:	US
Telephone Number	:	404-785-4370
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 JOHNSON FY RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1605
Country	:	US
Telephone Number	:	404-785-4370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2015
Last Update Date	:	05/03/2026

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