Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME77208 | FL |
N | 111NI0900X | Internist | ME77208 | FL |
Y | 208D00000X | General Practice Physician | ME77208 | FL |
NPI | 1043209125 |
---|---|
Provider Name | Dr. Mohammed I Baig |
First Address | Plantation, FL 33317-2813 |
Second Address | Plantation, FL 33317-2813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2005 |
Last Update Date | 22/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006747100 | (05) | FL |
H23936 | (02) |