Healthcare Provider Details

I. General information

NPI: 1346206778
Provider Name (Legal Business Name): KHAWAJA SHAHID HAMEED BAIG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10105 BANBURRY CROSS DR STE 250
LAS VEGAS NV
89144-6648
US

IV. Provider business mailing address

9950 W CHEYENNE AVE STE 110
LAS VEGAS NV
89129-7700
US

V. Phone/Fax

Practice location:
  • Phone: 702-360-7600
  • Fax: 702-363-3814
Mailing address:
  • Phone: 702-805-5678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number0101270372
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number35081090
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35081090B
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number22510
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: