Mian Bashir Daud, M.D.
Individual provider Active NPI Pediatrics Physician · Faison, NC
NPI 1003889288 · NPPES record last updated Oct 26, 2010
Key facts
- NPI
- 1003889288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 38321 (NC)
- Practice address
- 444 SW Center Street
Faison, NC 28341-0187 - Phone
- (910) 267-0421
- Fax
- (910) 267-0441
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19345 | NC | MD | Family Medicine Physician |
| 38321 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRX High Point, PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19345 | NC | |
| Pediatrics Physician | 208000000X | 38321 | NC | Yes |
| Family Medicine Physician | 207Q00000X | 38321 | NC |
Addresses
Primary practice location
444 SW Center Street
Faison, NC 28341-0187
Mailing address
P.O. Box 187
Faison, NC 28341-0187
Phone (910) 267-0421
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12808 | Other | NC | BCBS |
| 8912808 | Medicaid | NC |
Other providers in Faison, NC
- Taylor Brooke Blackburn
- Tonya Daughtry Blackman
- Jonathan C Blackmore
- Julie Marie Crawford
- Teha Shonta Croswell
- Lauren Eades
- Bryan Francis
- Michael T Futrell
- Dara L. Garces
- John Louis Gentri
All providers in Faison, NC · Pediatrics Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.