Provider Demographics
NPI:1730349101
Name:BAIG, KAMAKSHI (MD)
Entity type:Individual
Prefix:DR
First Name:KAMAKSHI
Middle Name:
Last Name:BAIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4255 ALTAMONT PL
Mailing Address - Street 2:STE 203
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-3024
Mailing Address - Country:US
Mailing Address - Phone:301-638-9505
Mailing Address - Fax:301-705-8831
Practice Address - Street 1:4255 ALTAMONT PL STE 203
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695
Practice Address - Country:US
Practice Address - Phone:301-638-9505
Practice Address - Fax:301-705-8831
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056949207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF141-0001OtherBLUE CROSS FEDERAL
MD463000900Medicaid
MDH42502Medicare UPIN
MD663RMedicare PIN