Healthcare Provider Details

I. General information

NPI: 1356724967
Provider Name (Legal Business Name): ADIL M BAIG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ADIL M BAIG M.D.

II. Dates (important events)

Enumeration Date: 06/30/2015
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11351 S FRONTAGE RD
YUMA AZ
85367-7862
US

IV. Provider business mailing address

2400 S AVENUE A
YUMA AZ
85364-7170
US

V. Phone/Fax

Practice location:
  • Phone: 928-336-4000
  • Fax: 928-336-6272
Mailing address:
  • Phone: 928-344-2000
  • Fax: 928-336-7520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number56548
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: