Active NPI
Annie Wan Bishai, M.D.
- Internal Medicine Physician
- Hunt Valley, MD
National Provider Identifier
1164666897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0051150
- Practice address
- 11118 Pool Rd
Hunt Valley, MD 21030-1517 - Phone
- (410) 785-1747
- NPI assigned
- Apr 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0051150 | MD | Primary |
Addresses
Primary practice location
11118 Pool Rd
Hunt Valley, MD 21030-1517
Mailing address
11118 Pool Rd
Hunt Valley, MD 21030-1517
Phone (410) 785-1747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0051150 | MD | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240531200000",
"number": "1164666897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11118 POOL RD",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "210301517",
"telephone_number": "410-785-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11118 POOL RD",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "210301517",
"telephone_number": "410-785-1747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHAI",
"first_name": "ANNIE",
"middle_name": "WAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-24",
"last_updated": "2009-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0051150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hunt Valley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.