Provider Demographics
NPI:1619223443
Name:BAILEY, HANNAH (MD)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9715 MEDICAL CENTER DR STE 315
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6326
Mailing Address - Country:US
Mailing Address - Phone:301-768-4535
Mailing Address - Fax:301-279-8644
Practice Address - Street 1:9715 MEDICAL CENTER DR STE 315
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6326
Practice Address - Country:US
Practice Address - Phone:301-768-4535
Practice Address - Fax:012-798-6443
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY284888207V00000X
NJ390200000X
MDD0102921207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04556112Medicaid