Organization
BAYSIDE GYNECOLOGY OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKHI GUPTA M.D. (PRESIDENT)
(410) 243-6224
Entity
Organization
Contact information
Practice address
200 E 33RD ST, SUITE 466, BALTIMORE, MD 21218-3322
(410) 243-6224
(410) 243-7222
Mailing address
PO BOX 1647, OWINGS MILLS, MD 21117-1664
(410) 243-6224
(410) 243-7222
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0063566
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005732100
—
MD
Enumeration date
09/14/2015
Last updated
09/14/2015
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