Basic Information
Provider Information
NPI: 1134618184
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAIG
FirstName: AURANGZAIB
MiddleName: MOHAMMED
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1625 N CAMPBELL AVE
Address2:  
City: TUCSON
State: AZ
PostalCode: 857194330
CountryCode: US
TelephoneNumber: 5206265797
FaxNumber: 5204483903
Practice Location
Address1: 1625 N CAMPBELL AVE
Address2:  
City: TUCSON
State: AZ
PostalCode: 857194330
CountryCode: US
TelephoneNumber: 5206265797
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/04/2018
LastUpdateDate: 05/18/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XR76638AZY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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