MEDICARE: DR. MOHAMMED I BAIG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME77208	FL
2	208D00000X	General Practice Physician	ME77208	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043209125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMED I BAIG MD

Provider Business Mailing Address
First Line	:	4100 S HOSPITAL DR
Second Line	:	STE 300
City	:	PLANTATION
State	:	FL
Zip	:	33317-2813
Country	:	US
Telephone Number	:	954-797-0601
Fax Number	:	954-797-1466

Provider Business Practice Location Address
First Line	:	4100 S HOSPITAL DR
Second Line	:	STE 300
City	:	PLANTATION
State	:	FL
Zip	:	33317-2813
Country	:	US
Telephone Number	:	954-797-0601
Fax Number	:	954-797-1466

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	02/22/2013

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Directions to “ DR. MOHAMMED I BAIG MD” Practice Location

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