# BAYSIDE GYNECOLOGY OF MARYLAND, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881062404
- **Authorized official:** RAKHI GUPTA M.D. (PRESIDENT)
- **Authorized official phone:** (410) 243-6224

## Contact information

- **Practice address:** 200 E 33RD ST, SUITE 466, BALTIMORE, MD 21218-3322
- **Practice address phone:** (410) 243-6224
- **Practice address fax:** (410) 243-7222
- **Mailing address:** PO BOX 1647, OWINGS MILLS, MD 21117-1664
- **Mailing address phone:** (410) 243-6224
- **Mailing address fax:** (410) 243-7222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | D0063566 | MD | Yes |

## Other

- **Enumeration date:** 09/14/2015
- **Last updated:** 09/14/2015
