MEDICARE: DR. MIRZA SHAHRUKH 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	207RN0300X	Nephrology Physician	0101263932	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427214063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIRZA SHAHRUKH BAIG MD

Provider Business Mailing Address
First Line	:	671 HIOAKS RD STE B
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-4072
Country	:	US
Telephone Number	:	804-272-5814
Fax Number	:	804-560-0232

Provider Business Practice Location Address
First Line	:	8485 BELL CREEK RD UNIT B2
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-3866
Country	:	US
Telephone Number	:	804-559-9757
Fax Number	:	804-559-9341

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

Provider Enumeration Date	:	08/04/2008
Last Update Date	:	03/25/2021

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