Provider Demographics
NPI:1811977044
Name:BAYT, THERESA M (MD)
Entity type:Individual
Prefix:DR
First Name:THERESA
Middle Name:M
Last Name:BAYT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8801 N MERIDIAN ST
Mailing Address - Street 2:207
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-2396
Mailing Address - Country:US
Mailing Address - Phone:317-848-2427
Mailing Address - Fax:317-848-2434
Practice Address - Street 1:8801 N MERIDIAN ST
Practice Address - Street 2:207
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2396
Practice Address - Country:US
Practice Address - Phone:317-848-2427
Practice Address - Fax:317-848-2434
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01045275A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ING09774Medicare UPIN
IN232350AMedicare ID - Type Unspecified