Doctor Name: | MAIMUNA BAIG |
NPI Number: | 1679536403 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 36225 |
Business Practice Address: | 2 Harbor Bend Ct Lake St Louis, MO - 633671478 |
Business Phone Number: | 6365612220 |
Business Fax Number: | 6366254723 |
Mailing Address: | 2 Harbor Bend Ct, Suite 202 LAKE ST LOUIS |
State: | MO |
Postal Code: | 633671478 |
Phone Number: | 6365612220 |
Fax Number: | 6366254723 |
NPI Enumeration Date: | 04/11/2006 |
NPI Last Update Date: | 03/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 36225 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |