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1548796642

NPI Code Detail

MEDICARE: HARNEK BAJAJ MD

MEDICARE: HARNEK BAJAJ 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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	0101276118	VA
2	208VP0014X	Interventional Pain Medicine Physician	0101276118	VA
3	390200000X	Student in an Organized Health Care Education/Training Program
4	208100000X	Physical Medicine & Rehabilitation Physician	0101276118	VA

General Provider Information

NPI Number	:	1548796642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARNEK BAJAJ MD

Provider Business Mailing Address
First Line	:	8401 MAYLAND DR STE 4823
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23294-4648
Country	:	US
Telephone Number	:	804-368-6474
Fax Number	:

Provider Business Practice Location Address
First Line	:	1776 CAMBRIDGE DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23238-3203
Country	:	US
Telephone Number	:	804-368-6474
Fax Number	:

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

Provider Enumeration Date	:	05/10/2017
Last Update Date	:	11/26/2024

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Directions to “ HARNEK BAJAJ MD” Practice Location

Language	Start Address	Practice Location

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