Individual
BAI KANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3233 SUPERIOR LN, B 21, BOWIE, MD 20715-1920
(301) 805-2500
(301) 805-0114
Mailing address
16430 LEA DR, BOWIE, MD 20715-4384
(301) 262-7113
(301) 805-0114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0058580
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432360200
—
MD
Enumeration date
05/20/2006
Last updated
11/05/2007
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