Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | D0054579 | MD |
NPI | 1093706871 |
---|---|
Provider Name | Maheteme Bayeh |
First Address | Silver Spring, MD 20914-0823 |
Second Address | Lanham, MD 20706-2273 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 06/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
023998200 | (05) | DC |
0759 | CRAEFIRST BCBS (01) | |
571700100 | (05) | MD |