Healthcare Provider Details

I. General information

NPI: 1033178264
Provider Name (Legal Business Name): ANUREET BAJAJ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 05/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8106 N MAY AVE STE. B
OKLAHOMA CITY OK
73120-4545
US

IV. Provider business mailing address

8106 N MAY AVE STE. B
OKLAHOMA CITY OK
73120-4545
US

V. Phone/Fax

Practice location:
  • Phone: 405-810-8448
  • Fax: 405-810-9755
Mailing address:
  • Phone: 405-810-8448
  • Fax: 405-810-9755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number23249
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: