Healthcare Provider Details

I. General information

NPI: 1700310281
Provider Name (Legal Business Name): ASIMA BAJWA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2017
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44095 PIPELINE PLZ STE 330
ASHBURN VA
20147-7518
US

IV. Provider business mailing address

44095 PIPELINE PLZ STE 330
ASHBURN VA
20147-7518
US

V. Phone/Fax

Practice location:
  • Phone: 844-776-3774
  • Fax:
Mailing address:
  • Phone: 844-776-3774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberD0094562
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD210002055
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0101273886
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number69190
License Number StateCT
# 5
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: