Provider Demographics
NPI:1801250618
Name:BAIG, FARAZ AHMAD (MD)
Entity type:Individual
Prefix:DR
First Name:FARAZ
Middle Name:AHMAD
Last Name:BAIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 HOSPITAL BLVD STE 113
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78405-1876
Mailing Address - Country:US
Mailing Address - Phone:361-902-6570
Mailing Address - Fax:361-881-1467
Practice Address - Street 1:2601 HOSPITAL BLVD STE 113
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-1876
Practice Address - Country:US
Practice Address - Phone:361-902-6570
Practice Address - Fax:361-881-1467
Is Sole Proprietor?:No
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21116451390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program