Healthcare Provider Details

I. General information

NPI: 1699591461
Provider Name (Legal Business Name): HARNEK BAJAJ MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 CAMBRIDGE DR
RICHMOND VA
23238-3203
US

IV. Provider business mailing address

8401 MAYLAND DR STE 4823
RICHMOND VA
23294-4648
US

V. Phone/Fax

Practice location:
  • Phone: 804-368-6474
  • Fax:
Mailing address:
  • Phone: 804-368-6474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: HARNEK BAJAJ
Title or Position: PRESIDENT
Credential: MD
Phone: 804-651-6304