Bayside Internal Medicine LLC

NPI #1326227216 in Aberdeen, Maryland

Provider Information

NPI Number
1326227216
Entity Type
Organization
Organization Name
Bayside Internal Medicine LLC
Primary Specialty
Internal Medicine
Enumeration Date
Oct 29, 2007
Last Updated
Jun 29, 2012

Practice Location

Address
998 HOSPITALITY WAY, SUITE 102
Address 2
BAYSIDE INTERNAL MEDICINE, LLC
ZIP Code
21001-1757
Phone
(410) 297-9500

Authorized Official

Name
MR. PRASHANT REHIT SHUKLA, MD
Title
OWNER
Phone
(410) 297-9500

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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