Individual
DR. SIMA HABIBI BAKALIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10810 CONNECTICUT AVENUE, KENSINGTON, MD 20895-2138
(301) 929-7211
(301) 929-7027
Mailing address
2101 EJEFFERSON ST PPQA MEDICARE COMPILANCE UNIT 6 W, ATTN THERESA BROOKS KAISER PERMANENTA MIDATLANTIC, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0043387
MD
208000000X
Pediatrics Physician
MD19794
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821164054
—
MD
Enumeration date
11/28/2006
Last updated
05/27/2021
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