Basic Information
| Provider Information | |||||||||
| NPI: | 1972943454 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAKER | ||||||||
| FirstName: | SASHA | ||||||||
| MiddleName: | KORIE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9960 CENTRAL PARK BLVD N STE 400 | ||||||||
| Address2: | |||||||||
| City: | BOCA RATON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334281705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5612885500 | ||||||||
| FaxNumber: | 5614821469 | ||||||||
| Practice Location | |||||||||
| Address1: | 1309 N FLAGLER DR | ||||||||
| Address2: | |||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334013406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5618224541 | ||||||||
| FaxNumber: | 5616506093 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/28/2013 | ||||||||
| LastUpdateDate: | 01/25/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 006671 | GA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | ME12598 | FL | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.