Provider Demographics
NPI:1427259654
Name:ANNAPOLIS INFECTIOUS DISEASE ASSOCIATES LLP
Entity type:Organization
Organization Name:ANNAPOLIS INFECTIOUS DISEASE ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-573-9511
Mailing Address - Street 1:PO BOX 9689
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-0689
Mailing Address - Country:US
Mailing Address - Phone:410-573-9511
Mailing Address - Fax:410-573-4816
Practice Address - Street 1:1127 WEST ST STE 105
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4284
Practice Address - Country:US
Practice Address - Phone:410-573-9511
Practice Address - Fax:410-573-4816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-28
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD214005500Medicaid
DCR996OtherCAREFIRST BCBS
MDLK63ANOtherCAREFIRST BCBS
MD757LMedicare ID - Type Unspecified