DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1336374321

NPI Code Detail

MEDICARE: RAFEENA BACCHUS MD

MEDICARE: RAFEENA BACCHUS MD

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	208M00000X	Hospitalist Physician	D73688	MD
2	207R00000X	Internal Medicine Physician	D0073688	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01102392	OTHER		RR MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	V8260037	OTHER		CAREFIRST

General Provider Information

NPI Number	:	1336374321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFEENA BACCHUS MD

Provider Business Mailing Address
First Line	:	7580 BUCKINGHAM BLVD STE 220
Second Line	:
City	:	HANOVER
State	:	MD
Zip	:	21076-3210
Country	:	US
Telephone Number	:	410-729-5100
Fax Number	:

Provider Business Practice Location Address
First Line	:	5900 WATERLOO RD STE 200
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2641
Country	:	US
Telephone Number	:	410-740-2900
Fax Number	:	410-992-0732

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

Provider Enumeration Date	:	05/20/2009
Last Update Date	:	03/16/2023

Similar Medicare Providers

1992706618 — DR. BRUCE MICHAEL CONGER M.D.
Practice Location Address:

5900 WATERLOO RD STE 200
COLUMBIA, MD
21045-2641

Practice Phone: 410-740-2900
Practice Fax: 410-992-7032

1558362111 — DR. STEVEN HUNT DIENER M.D.
Practice Location Address:

5900 WATERLOO RD STE 200
COLUMBIA, MD
21045-2641

Practice Phone: 410-740-2900
Practice Fax: 410-992-0732

1295736429 — DR. JERRY ISADORE LEVINE M.D.
Practice Location Address:

5900 WATERLOO RD STE 200
COLUMBIA, MD
21045-2641

Practice Phone: 410-740-2900
Practice Fax: 410-992-0732

1215929112 — DR. PIO L. POBLETE M.D.
Practice Location Address:

5900 WATERLOO RD STE 200
COLUMBIA, MD
21045-2641

Practice Phone: 410-740-2900
Practice Fax: 410-992-0732

1043202591 — DR. MICHELLE Y PRICE MD
Practice Location Address:

5900 WATERLOO RD STE 200
COLUMBIA, MD
21045-2641

Practice Phone: 410-740-2900
Practice Fax: 410-992-0732

1306048202 — KIMBERLEE J. ADKINS MD
Practice Location Address:

5900 WATERLOO RD STE 200
COLUMBIA, MD
21045-2641

Practice Phone: 410-740-2900
Practice Fax: 410-992-0732

Directions to “ RAFEENA BACCHUS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.