Healthcare Provider Details

I. General information

NPI: 1780086033
Provider Name (Legal Business Name): OMAR ANWAR BAJWA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2014
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 INVERNESS WAY S STE 225
ENGLEWOOD CO
80112-5841
US

IV. Provider business mailing address

304 INVERNESS WAY S STE 225
ENGLEWOOD CO
80112-5841
US

V. Phone/Fax

Practice location:
  • Phone: 970-310-3406
  • Fax:
Mailing address:
  • Phone: 970-310-3406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberDR.0077396
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: