Healthcare Provider Details

I. General information

NPI: 1518541390
Provider Name (Legal Business Name): SHIVANI BAJPAI BADVE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHIVANI BAJPAI MD

II. Dates (important events)

Enumeration Date: 05/08/2021
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST
BALTIMORE MD
21201-1544
US

IV. Provider business mailing address

2001 MEDICAL PARKWAY CLATANOFF PAVILION, ACADEMIC AFFAIRS
ANNAPOLIS MD
21401
US

V. Phone/Fax

Practice location:
  • Phone: 317-650-7504
  • Fax:
Mailing address:
  • Phone: 443-481-4142
  • Fax: 443-924-2727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberD0107476
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: