Healthcare Provider Details

I. General information

NPI: 1164932414
Provider Name (Legal Business Name): NABIL BAIG MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2017
Last Update Date: 10/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7210 N MILBURN AVE STE 105
FRESNO CA
93722-8449
US

IV. Provider business mailing address

7726 N 1ST ST # 235
FRESNO CA
93720-0989
US

V. Phone/Fax

Practice location:
  • Phone: 559-277-3909
  • Fax:
Mailing address:
  • Phone: 949-939-9381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20A13045
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number20A13045
License Number StateCA

VIII. Authorized Official

Name: DR. NABIL BAIG
Title or Position: CEO
Credential: DO
Phone: 949-939-9381