Individual
MICHAEL N BAAKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3450 FORT MEADE RD, SUITE 209, LAUREL, MD 20724-2040
(240) 295-0502
(240) 295-0503
Mailing address
PO BOX 4737, SILVER SPRING, MD 20914-4737
(240) 295-0502
(240) 295-0503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C1-0006365
DE
207R00000X
Internal Medicine Physician
Primary
D0057216
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0404202
UNITED HEALTHCARE
—
01
—
5455054
CCN NETWORK
—
01
—
667490
NCPPO
—
01
—
7457439
AETNA
MD
01
—
8107145/ 2107145
MAMSI
—
01
—
H816-0001
BCBS NATIONAL CAPITAL
MD
Enumeration date
09/16/2006
Last updated
07/08/2007
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