Provider Demographics
NPI:1649654765
Name:BAYERO, AMINAT
Entity type:Individual
Prefix:
First Name:AMINAT
Middle Name:
Last Name:BAYERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6835A RIVERDALE RD
Mailing Address - Street 2:APT A101
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737
Mailing Address - Country:US
Mailing Address - Phone:240-470-3060
Mailing Address - Fax:
Practice Address - Street 1:6835A RIVERDALE RD
Practice Address - Street 2:APT A101
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1866
Practice Address - Country:US
Practice Address - Phone:240-470-3060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-18
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC8100156390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program