Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2020031542 | MO |
Y | 111NI0900X | Internist | 2020031542 | MO |
NPI | 1003488966 |
---|---|
Provider Name | Rohail Aijaz Baig |
First Address | West Chicago, IL 60185-6181 |
Second Address | Saint Louis, MO 63101-1400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2021 |
Last Update Date | 12/07/2021 |