Provider Demographics
NPI:1245493485
Name:BAIJNATH, JOAN (MD)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:BAIJNATH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 BURNS RD
Mailing Address - Street 2:SUTIE 101
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4325
Mailing Address - Country:US
Mailing Address - Phone:561-513-9313
Mailing Address - Fax:561-206-0505
Practice Address - Street 1:3400 BURNS RD
Practice Address - Street 2:SUTIE 101
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4325
Practice Address - Country:US
Practice Address - Phone:561-513-9313
Practice Address - Fax:561-206-0505
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME113484207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIF0572Medicare PIN
NVH50621Medicare UPIN