Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | MD420770 | PA |
Y | 207RP1001X | Pulmonary Disease | MD420770 | PA |
NPI | 1073577391 |
---|---|
Provider Name | Omer Akhtar Bajwa |
First Address | Pittsburgh, PA 15212-4771 |
Second Address | Pittsburgh, PA 15212-4771 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 09/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2644722 | (05) | OH |
3810003371 | (05) | WV |
BA1759620 | (05) | PA |
I44587 | (02) |