Baum, Irina Konstantinovna

Baum, Irina Konstantinovna is an individual health care provider with primary practice located at 3893 Fortress Ct , Hampstead MD 21074-1790. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Baum, Irina Konstantinovna can be contacted via phone (240) 593-2301.

Contact Information

Primary practice address
3893 Fortress Ct Hampstead MD 21074-1790
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X R211137 Maryland
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X R211137 Maryland

Profile Details

NPI number 1093354920
LBN Legal business name Baum, Irina Konstantinovna
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2019
Last updated Dec 23rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers