Individual
DR. HAMID KIABAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4527
(410) 595-1992
Mailing address
7250 PARKWAY DR, STE 500, HANOVER, MD 21076-1343
(410) 787-4527
(410) 595-1992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0069318
MD
207R00000X
Internal Medicine Physician
MD437951
PA
208M00000X
Hospitalist Physician
Primary
MD437951
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007307260034
MEDICAID GROUP #
PA
01
—
120420410
DEPT OF LABOR
PA
01
—
1585290
GATEWAY
PA
01
—
25-1716306
DEVON
PA
01
—
251716306015
HEALTHNET FEDERAL SERVICES
PA
01
—
286048
UNISON
PA
01
—
50088508
CAPITAL BLUECROSS
PA
01
—
6024879
AETNA HMO
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
9769423
AETNA NON-HMO
PA
01
—
G920-0124
CAREFIRST
PA
01
—
KI2123097
HIGHMARK BLUE SHIELD
PA
01
—
MD437951
LICENSE
PA
01
—
P00768397
RAILROAD MEDICARE
PA
Enumeration date
07/09/2008
Last updated
03/07/2023
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