Organization
SAMBANDAM BASKARAN M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMBANDAM BASKARAN M.D. (PRESIDENT)
(410) 644-4444
Entity
Organization
Contact information
Practice address
3455 WILKENS AVE, LL10, BALTIMORE, MD 21229-5213
(410) 644-4444
(410) 644-4484
Mailing address
3455 WILKENS AVE, LL10, BALTIMORE, MD 21229-5213
(410) 644-4444
(410) 644-4484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D21649
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
975031200
—
MD
Enumeration date
08/22/2006
Last updated
07/01/2009
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