MEDICARE: IFTEKHAR BAIG D.O.

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	207R00000X	Internal Medicine Physician	UO2895	FL
2	208D00000X	General Practice Physician	OS12229	FL
3	207RC0000X	Cardiovascular Disease Physician	OS12229	FL

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	:	1750661419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IFTEKHAR BAIG D.O.

Provider Business Mailing Address
First Line	:	2025 INDIAN ROCKS RD S
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33774-1035
Country	:	US
Telephone Number	:	727-586-7103
Fax Number	:	727-585-7205

Provider Business Practice Location Address
First Line	:	2010 59TH ST W STE 4200
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34209-4687
Country	:	US
Telephone Number	:	941-794-3999
Fax Number	:	941-792-4048

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

Provider Enumeration Date	:	08/25/2011
Last Update Date	:	02/21/2019

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Directions to “ IFTEKHAR BAIG D.O.” Practice Location

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