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1548525413

NPI Code Detail

MEDICARE: MR. RAMNEESH BAWEJA MD

MEDICARE: MR. RAMNEESH BAWEJA 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
1	2084P0800X	Psychiatry Physician	MD476412	PA
2	2084P0800X	Psychiatry Physician	E-10469	AR
3	2084P0800X	Psychiatry Physician	25MA11311400	NJ
4	2084P0800X	Psychiatry Physician	Q9575	TX

General Provider Information

NPI Number	:	1548525413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAMNEESH BAWEJA MD

Provider Business Mailing Address
First Line	:	PO BOX 5017
Second Line	:
City	:	TEXARKANA
State	:	TX
Zip	:	75505-5017
Country	:	US
Telephone Number	:	430-200-2793
Fax Number	:	903-231-0142

Provider Business Practice Location Address
First Line	:	5501 MEDICAL PARKWAY DR
Second Line	:
City	:	TEXARKANA
State	:	TX
Zip	:	75503-4624
Country	:	US
Telephone Number	:	430-200-2793
Fax Number	:	903-231-0142

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2012
Last Update Date	:	02/18/2025

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Directions to “ MR. RAMNEESH BAWEJA MD” Practice Location

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