Provider Demographics
NPI:1689662140
Name:BAUM, MICHAEL D (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:BAUM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8830 CAMERON CT
Mailing Address - Street 2:105
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4114
Mailing Address - Country:US
Mailing Address - Phone:301-587-1800
Mailing Address - Fax:301-587-1804
Practice Address - Street 1:8830 CAMERON CT
Practice Address - Street 2:105
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4114
Practice Address - Country:US
Practice Address - Phone:301-587-1800
Practice Address - Fax:301-587-1804
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-10
Last Update Date:2010-02-22
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Provider Licenses
StateLicense IDTaxonomies
MDD21236207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD184986Medicare PIN
C62411Medicare UPIN