Provider Demographics
NPI:1487647913
Name:BAIG, MIRZA ABRAR (MS RPT)
Entity Type:Individual
Prefix:MR
First Name:MIRZA
Middle Name:ABRAR
Last Name:BAIG
Suffix:
Gender:M
Credentials:MS RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3715 WHITE TRILLIUM DR E
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-1964
Mailing Address - Country:US
Mailing Address - Phone:989-792-1162
Mailing Address - Fax:
Practice Address - Street 1:3055 HALLMARK CT
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-6825
Practice Address - Country:US
Practice Address - Phone:989-249-7860
Practice Address - Fax:989-249-7862
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP36970001Medicare PIN