Provider Demographics
NPI:1639676349
Name:BAID, AJIT S
Entity Type:Individual
Prefix:
First Name:AJIT
Middle Name:S
Last Name:BAID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 ATLANTIC AVE APT 512
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02210-2237
Mailing Address - Country:US
Mailing Address - Phone:267-421-1438
Mailing Address - Fax:
Practice Address - Street 1:530 ATLANTIC AVE APT 512
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02210-2237
Practice Address - Country:US
Practice Address - Phone:267-421-1438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator