MEDICARE: DR. SAMEER MIRZA BAIG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	ME145429	FL
2	207RH0003X	Hematology & Oncology Physician	2018-01484	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P02572036	OTHER	FL	MEDICARE RAILROAD
5	MT312	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	XXU1H	OTHER	FL	FL BLUE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093129207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMEER MIRZA BAIG MD

Provider Business Mailing Address
First Line	:	5221 PARAMOUNT PKWY STE 420
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5491
Country	:	US
Telephone Number	:	984-974-2705
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 MALCOLM BLVD STE 200
Second Line	:
City	:	CONNELLY SPRINGS
State	:	NC
Zip	:	28612-7920
Country	:	US
Telephone Number	:	828-580-7654
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2014
Last Update Date	:	03/04/2024

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Directions to “ DR. SAMEER MIRZA BAIG MD” Practice Location

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