Basic Information
| Provider Information | |||||||||
| NPI: | 1053833400 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MIRZA I BAIG MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7550 LUCERNE DR., STE. 405 | ||||||||
| Address2: | |||||||||
| City: | MIDDLEBURG HTS. | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441306503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4402348833 | ||||||||
| FaxNumber: | 4402343313 | ||||||||
| Practice Location | |||||||||
| Address1: | 5320 HOAG DR STE C | ||||||||
| Address2: | |||||||||
| City: | SHEFFIELD VILLAGE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440351484 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4404765295 | ||||||||
| FaxNumber: | 4402343313 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2017 | ||||||||
| LastUpdateDate: | 07/07/2017 | ||||||||
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| AuthorizedOfficialLastName: | BAIG | ||||||||
| AuthorizedOfficialFirstName: | MIRZA | ||||||||
| AuthorizedOfficialMiddleName: | I | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4404765295 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
No ID Information.