Provider Demographics
NPI:1669780839
Name:BAHR, RAYMOND D (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:D
Last Name:BAHR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 BOSTON ST APT 609
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-4891
Mailing Address - Country:US
Mailing Address - Phone:410-534-7655
Mailing Address - Fax:
Practice Address - Street 1:2901 BOSTON ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-4800
Practice Address - Country:US
Practice Address - Phone:410-534-7655
Practice Address - Fax:410-534-7659
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0000590207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease