Provider Demographics
NPI:1548295165
Name:BAKHIT, CYRUS E (MD)
Entity type:Individual
Prefix:DR
First Name:CYRUS
Middle Name:E
Last Name:BAKHIT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:11350 MCCORMICK RD
Mailing Address - Street 2:EXECUTIVE PLAZA 1, STE. 501
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031
Mailing Address - Country:US
Mailing Address - Phone:540-345-4230
Mailing Address - Fax:540-345-6458
Practice Address - Street 1:1316 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-4943
Practice Address - Country:US
Practice Address - Phone:540-345-4230
Practice Address - Fax:540-345-6458
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2021-07-26
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Provider Licenses
StateLicense IDTaxonomies
VA0101222244208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
050001494Medicare UPIN