Provider Demographics
NPI:1841505963
Name:BAIG, MIRZA A (DO)
Entity type:Individual
Prefix:
First Name:MIRZA
Middle Name:A
Last Name:BAIG
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3980 SHERIDAN DR
Mailing Address - Street 2:6TH FLOOR, ATTENTION OF: AMANDA MCFAYDEN
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1727
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3980 SHERIDAN DR
Practice Address - Street 2:6TH FLOOR, ATTENTION OF: AMANDA MCFAYDEN
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1727
Practice Address - Country:US
Practice Address - Phone:716-250-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY280893-12084N0400X, 2084D0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084D0003XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyDiagnostic Neuroimaging