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NPI Code Detail

MEDICARE: SAEED I BAJWA, M.D, P.C

MEDICARE: SAEED I BAJWA, M.D, P.C
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
1207R00000XInternal Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2WWA331OTHERNYMEDICARE - EMPIRE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528288354
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAEED I BAJWA, M.D, P.C
Provider Business Mailing Address
First Line : 160 HOWELLS RD
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-5320
Country : US
Telephone Number : 631-968-4200
Fax Number :
Provider Business Practice Location Address
First Line : 160 HOWELLS RD
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-5320
Country : US
Telephone Number : 631-968-4200
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SAEED I BAJWA
Credential : M.D
Telephone Number : 631-968-4200
Provider Enumeration Date : 04/26/2007
Last Update Date : 04/17/2008

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