MEDICARE: DR. ABDEL AZIZ BASHA EL SAID M.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	208600000X	Surgery Physician	D0034140	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
2	521537005	OTHER	MD	FIEN #

General Provider Information

NPI Number	:	1881606770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABDEL AZIZ BASHA EL SAID M.D.

Provider Business Mailing Address
First Line	:	3261 OLD WASHINGTON RD
Second Line	:	SUITE 1012
City	:	WALDORF
State	:	MD
Zip	:	20602-3223
Country	:	US
Telephone Number	:	301-843-9060
Fax Number	:	301-645-3092

Provider Business Practice Location Address
First Line	:	3261 OLD WASHINGTON RD
Second Line	:	SUITE 1012
City	:	WALDORF
State	:	MD
Zip	:	20602-3223
Country	:	US
Telephone Number	:	301-843-9060
Fax Number	:	301-645-3092

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

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	07/09/2007

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