Provider Demographics
NPI:1881944338
Name:BAYEH LLC
Entity type:Organization
Organization Name:BAYEH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALER
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:M
Authorized Official - Last Name:STEINBAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-580-2784
Mailing Address - Street 1:PO BOX 10823
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20914-0823
Mailing Address - Country:US
Mailing Address - Phone:240-997-1680
Mailing Address - Fax:301-805-1505
Practice Address - Street 1:9801 GREENBELT RD STE 101
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-6264
Practice Address - Country:US
Practice Address - Phone:301-552-6666
Practice Address - Fax:301-552-6216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0054579174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0239982 00Medicaid
MD571700100Medicaid
MD571700100Medicaid
188529Medicare PIN