Provider Demographics
NPI:1942261631
Name:BAKER, REGINALD LAMONT (MD)
Entity Type:Individual
Prefix:DR
First Name:REGINALD
Middle Name:LAMONT
Last Name:BAKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2722 MERRILEE DR
Mailing Address - Street 2:STE 230
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4400
Mailing Address - Country:US
Mailing Address - Phone:703-698-4444
Mailing Address - Fax:703-204-0116
Practice Address - Street 1:8505 ARLINGTON BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4621
Practice Address - Country:US
Practice Address - Phone:703-698-4444
Practice Address - Fax:703-204-0116
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2016-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01012238312085U0001X
FLME980932085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology