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NPI Code Detail

MEDICARE: JAGDEEP S BIJWADIA MD, FCCP, DABSM

MEDICARE: JAGDEEP S BIJWADIA MD, FCCP, DABSM
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
1207RS0012XSleep Medicine (Internal Medicine) Physician46171MN
2207RP1001XPulmonary Disease Physician46171MN
3207RP1001XPulmonary Disease Physician40706WI

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 : 1861468639
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAGDEEP S BIJWADIA MD, FCCP, DABSM
Provider Business Mailing Address
First Line : 784 LINWOOD AVE
Second Line :
City : SAINT PAUL
State : MN
Zip : 55105-3322
Country : US
Telephone Number : 612-618-1402
Fax Number : 651-493-4221
Provider Business Practice Location Address
First Line : 210 9TH ST SE
Second Line :
City : ROCHESTER
State : MN
Zip : 55904-6756
Country : US
Telephone Number : 507-288-3443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 02/02/2026

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