Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | MD446042 | PA |
NPI | 1417112699 |
---|---|
Provider Name | Tejvir Bawa |
First Address | Pittsburgh, PA 15213-2536 |
Second Address | Pittsburgh, PA 15213-2536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2008 |
Last Update Date | 08/03/2013 |