# PANAYIOTIS A. BALTATZIS, M.D., P.A.

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

## Provider details

- **NPI number:** 1891988440
- **Authorized official:** PANAYIOTIS A. BALTATZIS M.D. (M.D.)
- **Authorized official phone:** (410) 882-4800

## Contact information

- **Practice address:** 8113 HARFORD RD, SUITE 100, PARKVILLE, MD 21234-5707
- **Practice address phone:** (410) 882-4800
- **Practice address fax:** (410) 882-6667
- **Mailing address:** 8113 HARFORD RD, SUITE 100, PARKVILLE, MD 21234-5707
- **Mailing address phone:** (410) 882-4800
- **Mailing address fax:** (410) 882-6667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D00288949 | MD | Yes |

## Other

- **Enumeration date:** 08/27/2007
- **Last updated:** 03/18/2011