MEDICARE: SALAHUD-DIN AHMAD BAQAI M.D.

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	207Q00000X	Family Medicine Physician	A35119	CA
2	208000000X	Pediatrics Physician	A35119	CA

General Provider Information

NPI Number	:	1114939022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALAHUD-DIN AHMAD BAQAI M.D.

Provider Business Mailing Address
First Line	:	6850 BROCKTON AVE STE 106
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3814
Country	:	US
Telephone Number	:	951-683-5380
Fax Number	:	951-683-2734

Provider Business Practice Location Address
First Line	:	6850 BROCKTON AVE STE 106
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3814
Country	:	US
Telephone Number	:	951-683-5380
Fax Number	:	951-683-2734

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

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	03/02/2025

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