Provider Demographics
NPI:1770579633
Name:DR BAIG LLC
Entity type:Organization
Organization Name:DR BAIG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:KAMAKSHI BAIG MD
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAMAKSHI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-638-9505
Mailing Address - Street 1:4255 ALTAMONT PL
Mailing Address - Street 2:STE 203
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-3024
Mailing Address - Country:US
Mailing Address - Phone:301-638-9505
Mailing Address - Fax:301-705-8831
Practice Address - Street 1:4255 ALTAMONT PL
Practice Address - Street 2:STE 203
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3024
Practice Address - Country:US
Practice Address - Phone:301-638-9505
Practice Address - Fax:301-705-8831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-26
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056949207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F1410001OtherBCBS
MD663RMedicare PIN
H42502Medicare UPIN