Mirza Rafiuddin Baig, MD

Individual provider Active NPI Pediatrics Physician · Brawley, CA

NPI 1174550396 · NPPES record last updated Mar 11, 2011

Key facts

NPI
1174550396
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
A35515 (CA)
Practice address
565 Main St
Brawley, CA 92227
Phone
(760) 344-5529
Fax
(760) 344-0192
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A35515CAMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A35515 CA Yes

Addresses

Primary practice location

565 Main St
Brawley, CA 92227

Mailing address

565 Main St
Brawley, CA 92227
Phone (760) 344-5529

Other providers in Brawley, CA

All providers in Brawley, CA · Pediatrics Physician in California

Sources for this page

Verify at the official NPI Registry.