Healthcare Provider Details

I. General information

NPI: 1265733224
Provider Name (Legal Business Name): ATHAR BAIG, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2010
Last Update Date: 11/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G3283 BEECHER RD
FLINT MI
48532-3615
US

IV. Provider business mailing address

PO BOX 320008
FLINT MI
48532-0001
US

V. Phone/Fax

Practice location:
  • Phone: 810-820-8923
  • Fax: 810-820-8526
Mailing address:
  • Phone: 810-230-0338
  • Fax: 810-230-0595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301081365
License Number StateMI

VIII. Authorized Official

Name: DR. ATHAR BAIG
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 810-230-0338