Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 01043431A | IN |
N | 207RH0002X | Hospice and Palliative Medicine | 4301108255 | MI |
NPI | 1255439915 |
---|---|
Provider Name | Dr. Saeed I Bajwa |
First Address | Fort Wayne, IN 46845-1701 |
Second Address | Fort Wayne, IN 46845-1701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 23/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01733504 | (05) | NY |
G16084 | (02) | NY |