Healthcare Provider Details

I. General information

NPI: 1467546473
Provider Name (Legal Business Name): PARAMJIT SINGH BAJAJ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 04/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8106 N MAY AVE SUITE # B
OKLAHOMA CITY OK
73120-4545
US

IV. Provider business mailing address

8106 N MAY AVE SUITE # 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 Number9943
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: