1881944338 NPI number — BAYEH LLC

Table of content: (NPI 1881944338)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881944338 NPI number — BAYEH LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BAYEH LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881944338
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/12/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 10823
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SILVER SPRING
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20914-0823
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-997-1680
Provider Business Mailing Address Fax Number:
301-805-1505

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9801 GREENBELT RD STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANHAM
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20706-6264
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-552-6666
Provider Business Practice Location Address Fax Number:
301-552-6216
Provider Enumeration Date:
09/12/2012

Additional Information

Authorized Official

Authorized Official Last Name:
STEINBAUER
Authorized Official First Name:
JODI
Authorized Official Middle Name:
M
Authorized Official Title or Position:
CREDENTIALER
Authorized Official Telephone Number:
301-580-2784

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  D0054579 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0239982 00 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 571700100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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