Provider Demographics
NPI:1679164693
Name:SIMONI BAID MD PLLC
Entity Type:Organization
Organization Name:SIMONI BAID MD PLLC
Other - Org Name:AHIMSA MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SIMONI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-810-4122
Mailing Address - Street 1:350 S MIAMI AVE APT 2501
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1927
Mailing Address - Country:US
Mailing Address - Phone:786-810-4122
Mailing Address - Fax:
Practice Address - Street 1:175 SW 7TH ST STE 2107
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-2962
Practice Address - Country:US
Practice Address - Phone:786-810-4122
Practice Address - Fax:786-228-9071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-02
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108943900Medicaid