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AZAM BAIGM.D. NPI 1124123716


NPI Information

NPI: 1124123716
Provider Name: AZAM BAIG,M.D.

Doing Business As: SOUTH RIVER PEDIATRICS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 21D2047627

Address:
224 MAYO RD
EDGEWATER, MD
ZIP 21037
Phone: (410) 956-6303
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AZAM BAIG,M.D. is a primary care clinic center in Edgewater, MD. AZAM BAIG,M.D. NPI is 1124123716. The provider is registered as an organization entity type.
The provider Is Doing Business As South River Pediatrics.

The provider's business location address is:

224 MAYO RD
EDGEWATER, MD
ZIP 21037-951
Phone: (410) 956-6303
Fax: (410) 956-6637

The provider's authorized official is Azam Baig .
The authorized official title is Owner President and has the following contact phone number (410) 956-6303.

The CLIA number assigned to this NPI record is 21D2047627 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 6/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareD0020882MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B70655MEDICARE UPINMARYLAND
2181521100MEDICAIDMARYLAND
388981OTHERMARYLANDMAMSI
40701078005OTHERMARYLANDCIGNA
5C023OTHERMARYLANDCAPTIAL CARE/BLUE CHOICE
60453912OTHERMARYLANDAETNA
72653AOTHERMARSHALL ISLANDSBLUE CROSS/BLUE SHIELD
804531OTHERMARYLANDAMERIGROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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