Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D0070917 | MD |
Y | 111NI0900X | Internist | D0070917 | MD |
NPI | 1003011214 |
---|---|
Provider Name | Dr. Bhavandeep Singh Bajaj |
First Address | Baltimore, MD 21229-5213 |
Second Address | Baltimore, MD 21229-5213 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 18/01/2011 |