MEDICARE: SONIA BAJAJ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	M7021	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	M7021	OTHER	TX	TEXAS MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255327789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA BAJAJ MD

Provider Business Mailing Address
First Line	:	PO BOX 6278
Second Line	:	ATTN: HMA ADMINISTRATION
City	:	FORT WORTH
State	:	TX
Zip	:	76115-0278
Country	:	US
Telephone Number	:	817-568-4556
Fax Number	:	817-568-5474

Provider Business Practice Location Address
First Line	:	795 E FM 1187 STE A
Second Line	:
City	:	CROWLEY
State	:	TX
Zip	:	76036-4346
Country	:	US
Telephone Number	:	817-293-9631
Fax Number	:	817-293-9681

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	05/30/2023

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Directions to “ SONIA BAJAJ MD” Practice Location

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