Healthcare Provider Details

I. General information

NPI: 1558899708
Provider Name (Legal Business Name): SHER NAZIR BAIG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2017
Last Update Date: 07/21/2022
Certification Date: 11/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 GLESSNER AVE
MANSFIELD OH
44903-2269
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 740-383-8473
  • Fax: 740-383-8695
Mailing address:
  • Phone: 614-533-6497
  • Fax: 740-383-8695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD470890
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: