Provider Demographics
NPI:1992814040
Name:BAIG, NIKHAT S (MD)
Entity type:Individual
Prefix:DR
First Name:NIKHAT
Middle Name:S
Last Name:BAIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 S HOSPITAL DR STE 300
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2838
Mailing Address - Country:US
Mailing Address - Phone:954-797-0601
Mailing Address - Fax:954-797-1466
Practice Address - Street 1:4100 S HOSPITAL DR STE 300
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2838
Practice Address - Country:US
Practice Address - Phone:954-797-0601
Practice Address - Fax:954-797-1466
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88712207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI25848Medicare UPIN
FLU42922Medicare ID - Type Unspecified