Provider Demographics
NPI:1679567838
Name:BAIG, IMRAN (MD)
Entity Type:Individual
Prefix:DR
First Name:IMRAN
Middle Name:
Last Name:BAIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:IMRAN
Other - Middle Name:
Other - Last Name:BAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:13018 WOODFOREST BLVD
Mailing Address - Street 2:SUITE A & C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-2800
Mailing Address - Country:US
Mailing Address - Phone:713-453-4600
Mailing Address - Fax:713-453-0719
Practice Address - Street 1:13018 WOODFOREST BLVD
Practice Address - Street 2:STE A & C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-2800
Practice Address - Country:US
Practice Address - Phone:713-453-4600
Practice Address - Fax:713-453-0719
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4361207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG69216Medicare UPIN