Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208D00000X | General Practice Physician | MD2021-0839 | NM |
NPI | 1003376369 |
---|---|
Provider Name | Jewelian Akbar Baig |
First Address | El Paso, TX 79925-7701 |
Second Address | El Paso, TX 79925-7701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2019 |
Last Update Date | 19/10/2021 |