Provider Demographics
NPI:1760464226
Name:BAIG, SYEDA A (MD)
Entity Type:Individual
Prefix:DR
First Name:SYEDA
Middle Name:A
Last Name:BAIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13141 CENTRAL AVE
Mailing Address - Street 2:SUITE, H
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-4100
Mailing Address - Country:US
Mailing Address - Phone:909-569-5047
Mailing Address - Fax:909-992-3067
Practice Address - Street 1:13141 CENTRAL AVE
Practice Address - Street 2:SUITE, H
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710
Practice Address - Country:US
Practice Address - Phone:909-569-5047
Practice Address - Fax:909-992-3067
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA718342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H27954Medicare UPIN
CA00A718340Medicare ID - Type Unspecified