Provider Demographics
NPI:1790939528
Name:BAXI, RUPEN P (MD)
Entity Type:Individual
Prefix:DR
First Name:RUPEN
Middle Name:P
Last Name:BAXI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7500 GREENWAY CENTER DR STE 1120
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3563
Mailing Address - Country:US
Mailing Address - Phone:240-616-3934
Mailing Address - Fax:855-642-5984
Practice Address - Street 1:7500 GREENWAY CENTER DR STE 1120
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3563
Practice Address - Country:US
Practice Address - Phone:240-616-3934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY276786207VG0400X
MDD0082181207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400163205Medicare UPIN