Shabazz, Bayinnah
Shabazz, Bayinnah is an individual health care provider with primary practice located at 808 Landmark Dr Suite 122, Glen Burnie MD 21061-4983. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Shabazz, Bayinnah can be contacted via phone (410) 760-3588.Contact Information
Primary practice address
808 Landmark Dr Suite 122
Glen Burnie MD 21061-4983
Phone: (410) 760-3588
Fax: (410) 760-3604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | D24592 | Maryland |
Profile Details
| NPI number | 1104824465 |
|---|---|
| LBN Legal business name | Shabazz, Bayinnah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Mar 15th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104824465 | NPPES |
| Maryland | MEDICAID | 269581200 |
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