Provider Demographics
NPI:1932254000
Name:BAHRAIN AND BAHRAIN, LLC
Entity Type:Organization
Organization Name:BAHRAIN AND BAHRAIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAHRAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:443-802-7620
Mailing Address - Street 1:12212 RUNNING FENCE LN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1194
Mailing Address - Country:US
Mailing Address - Phone:443-802-7620
Mailing Address - Fax:410-780-4060
Practice Address - Street 1:9000 FRANKLIN SQUARE DRIVE
Practice Address - Street 2:FRANKLIN SQUARE HOSPITAL DIVISION OF INFECTIOUS DISEASE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237
Practice Address - Country:US
Practice Address - Phone:443-802-7620
Practice Address - Fax:410-780-4060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDHOO57147207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD405157200Medicaid
MD405157200Medicaid
MD845MMedicare PIN