Individual
MAIMUNA BAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 HARBOR BEND CT, LAKE ST LOUIS, MO 63367-1478
(636) 561-2220
(636) 625-4723
Mailing address
2 HARBOR BEND CT, SUITE 202, LAKE ST LOUIS, MO 63367-1478
(636) 561-2220
(636) 625-4723
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
36225
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100766
BCBS MO PAPER CLAIMS
MO
01
—
107274
HEALTHLINK
—
01
—
110141833
PALMETTO GBA/RAILROAD MCR
—
01
—
18031
BCBS MO ELECTRONIC
MO
05
—
BA202217311
—
MO
01
—
S04011
SSM HEALTHCARE
—
Enumeration date
04/11/2006
Last updated
03/26/2014
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