Provider Demographics
NPI:1457594640
Name:SALEHA K. BAIG, M.D.
Entity type:Organization
Organization Name:SALEHA K. BAIG, M.D.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SALEHA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BAIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-686-4469
Mailing Address - Street 1:9480 S EASTERN AVE
Mailing Address - Street 2:SUITE 273
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-8024
Mailing Address - Country:US
Mailing Address - Phone:702-365-9006
Mailing Address - Fax:702-365-9088
Practice Address - Street 1:9480 S EASTERN AVE
Practice Address - Street 2:SUITE 273
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-8024
Practice Address - Country:US
Practice Address - Phone:702-365-9006
Practice Address - Fax:702-365-9088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5287-C101Y00000X
NV7977103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty