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NPI Code Detail

MEDICARE: PANKAJ BALUJA MD

MEDICARE:   PANKAJ  BALUJA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician22892OK
2207R00000XInternal Medicine Physician22892OK

General Provider Information

NPI Number : 1063480309
Entity Type Code : Individual
Provider Name (Legal Business Name) : PANKAJ BALUJA MD
Provider Business Mailing Address
First Line : 608 NW 9TH ST STE 4106
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73102-1006
Country : US
Telephone Number : 405-272-8367
Fax Number :
Provider Business Practice Location Address
First Line : 608 NW 9TH ST STE 4106
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73102-1006
Country : US
Telephone Number : 405-272-8367
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2006
Last Update Date : 05/01/2024

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Directions to “ PANKAJ BALUJA MD” Practice Location

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