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NPI Code Detail

MEDICARE: MIRZA S BAIG MD PC

MEDICARE: MIRZA S BAIG MD PC
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
1207R00000XInternal Medicine Physician0101055095VA

General Provider Information

NPI Number : 1790831295
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIRZA S BAIG MD PC
Provider Business Mailing Address
First Line : 7501 LITTLE RIVER TPKE
Second Line : SUITE 104
City : ANNANDALE
State : VA
Zip : 22003-2923
Country : US
Telephone Number : 703-256-6010
Fax Number : 703-256-8684
Provider Business Practice Location Address
First Line : 7501 LITTLE RIVER TPKE
Second Line : SUITE 104
City : ANNANDALE
State : VA
Zip : 22003-2923
Country : US
Telephone Number : 703-256-6010
Fax Number : 703-256-8684
Authorized Official
Title or Position : PRESIDENT
Name : MIRZA S BAIG
Credential : MD
Telephone Number : 703-256-6010
Provider Enumeration Date : 01/26/2007
Last Update Date : 08/22/2020

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Directions to “MIRZA S BAIG MD PC ” Practice Location

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