Provider Demographics
NPI:1356724967
Name:BAIG, ADIL M (MD)
Entity type:Individual
Prefix:DR
First Name:ADIL
Middle Name:M
Last Name:BAIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ADIL
Other - Middle Name:M
Other - Last Name:BAIG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2400 S AVENUE A
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7170
Mailing Address - Country:US
Mailing Address - Phone:928-344-2000
Mailing Address - Fax:928-336-7520
Practice Address - Street 1:11351 S FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85367-7862
Practice Address - Country:US
Practice Address - Phone:928-336-4000
Practice Address - Fax:928-336-6272
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ56548207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ443136Medicaid