Individual
DR. MAURICE BACHAWATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6501 N CHARLES ST, BALTIMORE, MD 21204-6819
(410) 938-3000
(410) 938-5131
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(410) 938-3000
(410) 938-5131
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D56596
MD
2084P0800X
Psychiatry Physician
ME147434
FL
Other
Enumeration date
11/21/2005
Last updated
10/19/2020
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