MEDICARE: SMITA BAID ABRAHAM 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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	D0062822	MD

General Provider Information

NPI Number	:	1831180603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SMITA BAID ABRAHAM MD

Provider Business Mailing Address
First Line	:	WO BLDG 22 RM 3103
Second Line	:	10903 NEW HAMPSHIRE AVENUE
City	:	SILVER SPRING
State	:	MD
Zip	:	20993-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	WO BLDG 22 RM 3103
Second Line	:	10903 NEW HAMPSHIRE AVENUE
City	:	SILVER SPRING
State	:	MD
Zip	:	20993-0001
Country	:	US
Telephone Number	:	301-796-7522
Fax Number	:

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	10/23/2013

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