Provider Demographics
NPI:1104846922
Name:BAIG, MIRZA Z (MD)
Entity Type:Individual
Prefix:
First Name:MIRZA
Middle Name:Z
Last Name:BAIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 57933
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-7933
Mailing Address - Country:US
Mailing Address - Phone:832-554-1005
Mailing Address - Fax:832-724-0455
Practice Address - Street 1:11914 ASTORIA BLVD STE 125
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6073
Practice Address - Country:US
Practice Address - Phone:832-554-1005
Practice Address - Fax:832-742-0455
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9806207R00000X, 207RI0200X
NJ25MA09951600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8EE969OtherBLUE CROSS BLUE SHIELD
TXP01206789OtherRR MEDICARE
TX305740802Medicaid
TX1104846922OtherBLUE CROSS BLUE SHIELD
TX305740801Medicaid
AZ961418Medicaid
TXP01206789OtherRR MEDICARE
AZ961418Medicaid
AZ112964Medicare PIN
TX1104846922OtherBLUE CROSS BLUE SHIELD
AZ105411Medicare ID - Type Unspecified