Provider Demographics
NPI:1437328051
Name:BAIG, IMRAN REHAN (OD)
Entity Type:Individual
Prefix:DR
First Name:IMRAN
Middle Name:REHAN
Last Name:BAIG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:IMRAN
Other - Middle Name:REHAN
Other - Last Name:BAIG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:10415 MIDDLEROSE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3486
Mailing Address - Country:US
Mailing Address - Phone:281-477-3427
Mailing Address - Fax:
Practice Address - Street 1:12205 WEST RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4522
Practice Address - Country:US
Practice Address - Phone:281-477-3427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5709T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management