Provider Demographics
NPI:1043036304
Name:AZAM BAIG,M.D.
Entity type:Organization
Organization Name:AZAM BAIG,M.D.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:K
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-956-2856
Mailing Address - Street 1:224 MAYO RD
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-2951
Mailing Address - Country:US
Mailing Address - Phone:410-956-2856
Mailing Address - Fax:410-956-6637
Practice Address - Street 1:10845 TOWN CENTER BLVD STE 207
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:MD
Practice Address - Zip Code:20754-2712
Practice Address - Country:US
Practice Address - Phone:301-327-5093
Practice Address - Fax:301-327-5095
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTH RIVER PEDIATRICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-02
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care