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General NPI Number Information
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NPI Number | 1447604608
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Entity Type | Individual
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Provider Name | ZAID BAHA D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 420 W 5TH AVE
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City | FLINT
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State | MI
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Zip | 48503-2445
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Country | US
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Telephone | 949-543-0099
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20207
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City | FERNDALE
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State | MI
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Zip | 48220-0207
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Country | US
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Telephone | 949-543-0099
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 5101024526
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License Number State | MI
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