Provider Demographics
NPI:1023275526
Name:BAIG, MIRZA SHADMAN (MD)
Entity type:Individual
Prefix:DR
First Name:MIRZA
Middle Name:SHADMAN
Last Name:BAIG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5959 HARRY HINES BLVD POB 1 SUITE 620
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-0001
Mailing Address - Country:US
Mailing Address - Phone:214-645-0545
Mailing Address - Fax:214-645-0546
Practice Address - Street 1:2001 INWOOD RD
Practice Address - Street 2:5TH FL, WEST CAMPUS BLDG 3
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-7539
Practice Address - Country:US
Practice Address - Phone:214-645-0538
Practice Address - Fax:214-645-0536
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2021-01-19
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Provider Licenses
StateLicense IDTaxonomies
CAA796532086S0129X
TXP19612086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery