Healthcare Provider Details

I. General information

NPI: 1831419654
Provider Name (Legal Business Name): RAJINDER PAL SINGH BAJWA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 10TH ST NIAGARA FALLS MEMORIAL MEDICAL CENTER
NIAGARA FALLS NY
14301-1813
US

IV. Provider business mailing address

621 TENTH STREET NIAGARA FALLS MEMORIAL MEDICAL CENTER
NIAGARA FALLS NY
14302
US

V. Phone/Fax

Practice location:
  • Phone: 716-278-4000
  • Fax:
Mailing address:
  • Phone: 716-278-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME113984
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number270758
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: