Individual
DR. BAYINNAH SHABAZZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
808 LANDMARK DR, SUITE 122, GLEN BURNIE, MD 21061-4983
(410) 760-3588
(410) 760-3604
Mailing address
1589 SULPHUR SPRING RD, SUITE 109, BALTIMORE, MD 21227-2542
(410) 536-5400
(410) 737-2168
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D24592
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269581200
—
MD
Enumeration date
07/12/2005
Last updated
03/15/2011
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