Provider Demographics
NPI:1730355256
Name:BAIG, MUHAMMAD AHSAN (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:AHSAN
Last Name:BAIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:311 W 24TH ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502-2667
Mailing Address - Country:US
Mailing Address - Phone:814-453-6687
Mailing Address - Fax:814-456-4676
Practice Address - Street 1:311 W 24TH ST
Practice Address - Street 2:SUITE 402
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502-2667
Practice Address - Country:US
Practice Address - Phone:814-453-6687
Practice Address - Fax:814-456-4676
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD434472207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1021705860001Medicaid
PA128354Medicare PIN