Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 12196 | MD |
NPI | 1992990428 |
---|---|
Provider Name | Dr. Adila S Baig |
First Address | Cockeysville, MD 21030 |
Second Address | Cockeysville, MD 21030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2007 |
Last Update Date | 07/09/2007 |