Doctor Name: | IFTEKHAR BAIG |
NPI Number: | 1750661419 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS12229 |
Business Practice Address: | 2025 Indian Rocks Rd S Largo, FL - 337741035 |
Business Phone Number: | 7275867103 |
Business Fax Number: | 7275857205 |
Mailing Address: | 2025 Indian Rocks Rd S, LARGO |
State: | FL |
Postal Code: | 337741035 |
Phone Number: | 7275867103 |
Fax Number: | 7275857205 |
NPI Enumeration Date: | 08/25/2011 |
NPI Last Update Date: | 08/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS12229 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |