Jamalodeen Baksh MD LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

D0023050 Issued in MD

Legal business name

JAMALODEEN BAKSH MD LLC

Practice address

3951 Ferrara Dr
Connecticut Belair Medical Park
Silver Spring, MD 20906-4709

Phone

(301) 942-0991

Fax

(301) 942-0682

NPI assigned

May 10, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jamalodeen Baksh, MD

Title

Ceo

Phone

(301) 942-0991

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1598083917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 FERRARA DR",
            "address_2": "CONNECTICUT BELAIR MEDICAL PARK",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064709",
            "telephone_number": "301-942-0991",
            "fax_number": "301-942-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 FERRARA DR",
            "address_2": "CONNECTICUT BELAIR MEDICAL PARK",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064709",
            "telephone_number": "301-942-0991",
            "fax_number": "301-942-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMALODEEN BAKSH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "BAKSH",
        "authorized_official_first_name": "JAMALODEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-942-0991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0023050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "P713-0001",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "787201100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariama Wurie Jalloh
• Memunatu Jalloh
• Isatou Jallow
• Martha Jam
• Jamachi Inc
• James a. Loreto
• Brianna Simone James, CF-SLP
• Garland C James, PA
• Lizzie L James, NP
• Marriah James

• Primary Care Clinic/Center in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.