Provider Demographics
NPI:1194721514
Name:RIGGS PEDIATRIC CENTER
Entity type:Organization
Organization Name:RIGGS PEDIATRIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FARIBA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGHAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-434-3700
Mailing Address - Street 1:1835 UNIVERSITY BLVD E
Mailing Address - Street 2:STE 316
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4672
Mailing Address - Country:US
Mailing Address - Phone:301-434-3700
Mailing Address - Fax:
Practice Address - Street 1:1835 UNIVERSITY BLVD E
Practice Address - Street 2:STE 316
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-4672
Practice Address - Country:US
Practice Address - Phone:301-434-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-21
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0044970208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC23790001OtherBC DC/METRO
MD299702OtherUNITED HEALTHCARE
MDKBD1R1OtherBC/BS OF MARYLAND
MDF76646Medicare UPIN