Provider Demographics
NPI:1376706408
Name:KIABAYAN, HAMID (MD)
Entity Type:Individual
Prefix:DR
First Name:HAMID
Middle Name:
Last Name:KIABAYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7250 PARKWAY DR
Mailing Address - Street 2:STE 500
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1343
Mailing Address - Country:US
Mailing Address - Phone:410-787-4527
Mailing Address - Fax:410-595-1992
Practice Address - Street 1:301 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5803
Practice Address - Country:US
Practice Address - Phone:410-787-4527
Practice Address - Fax:410-595-1992
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD437951208M00000X, 207R00000X
MDD0069318207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA251716306015OtherHEALTHNET FEDERAL SERVICES
PA286048OtherUNISON
PA50088508OtherCAPITAL BLUECROSS
PAMD437951OtherLICENSE
PA1585290OtherGATEWAY
PA1007307260034OtherMEDICAID GROUP #
PAG920-0124OtherCAREFIRST
PA120420410OtherDEPT OF LABOR
PA25-1716306OtherDEVON
PA25-1716306OtherINFORMED
PA867633OtherMEDICARE GROUP #
PAP00768397OtherRAILROAD MEDICARE
PA25-1716306OtherHEALTHNET/TRICARE
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA6024879OtherAETNA HMO
PA9769423OtherAETNA NON-HMO
PAKI2123097OtherHIGHMARK BLUE SHIELD
PAKI2123097OtherHIGHMARK BLUE SHIELD
PA120420410OtherDEPT OF LABOR