Provider Demographics
NPI:1881606770
Name:EL SAID, ABDEL AZIZ BASHA (MD)
Entity type:Individual
Prefix:DR
First Name:ABDEL AZIZ
Middle Name:BASHA
Last Name:EL SAID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3261 OLD WASHINGTON RD
Mailing Address - Street 2:SUITE 1012
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-3223
Mailing Address - Country:US
Mailing Address - Phone:301-843-9060
Mailing Address - Fax:301-645-3092
Practice Address - Street 1:3261 OLD WASHINGTON RD
Practice Address - Street 2:SUITE 1012
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-3223
Practice Address - Country:US
Practice Address - Phone:301-843-9060
Practice Address - Fax:301-645-3092
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0034140208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD430011400Medicaid
MD521537005OtherFIEN #
MD687RMedicare ID - Type UnspecifiedCHARLES CO. MEDICARE ID#
MD413244Medicare ID - Type UnspecifiedPG COUNTY MEDICARE ID#
MDC48845Medicare UPIN