Organization
PANAYIOTIS A. BALTATZIS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANAYIOTIS A. BALTATZIS M.D. (M.D.)
(410) 882-4800
Entity
Organization
Contact information
Practice address
8113 HARFORD RD, SUITE 100, PARKVILLE, MD 21234-5707
(410) 882-4800
(410) 882-6667
Mailing address
8113 HARFORD RD, SUITE 100, PARKVILLE, MD 21234-5707
(410) 882-4800
(410) 882-6667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D00288949
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199449
MEDICARE
MD
01
—
PENDING
RAILROAD MEDICARE
GA
Enumeration date
08/27/2007
Last updated
03/18/2011
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