Provider Demographics
NPI:1831295872
Name:BAQAI, SHARIQ (DDS)
Entity Type:Individual
Prefix:
First Name:SHARIQ
Middle Name:
Last Name:BAQAI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-3107
Mailing Address - Country:US
Mailing Address - Phone:301-200-9585
Mailing Address - Fax:301-200-9585
Practice Address - Street 1:1303 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-3107
Practice Address - Country:US
Practice Address - Phone:301-200-9585
Practice Address - Fax:301-200-9585
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD143951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice