Provider Demographics
NPI:1497733018
Name:BAIG, MIRZA BASITH (MD)
Entity Type:Individual
Prefix:DR
First Name:MIRZA
Middle Name:BASITH
Last Name:BAIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:18400 KATY FWY
Mailing Address - Street 2:SUITE 270
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-1287
Mailing Address - Country:US
Mailing Address - Phone:713-464-7040
Mailing Address - Fax:713-464-7078
Practice Address - Street 1:18400 KATY FWY
Practice Address - Street 2:SUITE 270
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1286
Practice Address - Country:US
Practice Address - Phone:713-464-7040
Practice Address - Fax:713-464-7078
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2012-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH9598207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX096261505Medicaid
TX00435UMedicare ID - Type UnspecifiedGROUP
E95486Medicare UPIN
TX096261505Medicaid