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Individual

DR. MARY S BAKER

Active
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Individual

DR. MARY S BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01067684
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101257165
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD2023-1245
NM
207RP1001X
Pulmonary Disease Physician
Primary
0101257165
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000710972
ANTHEM PIN
IN
05
1932360450
VA
05
201020340
IN
Enumeration date
06/17/2008
Last updated
01/21/2025
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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