MEDICARE: DR. DANIELLE R BAJAKIAN M.D.

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	2086S0129X	Vascular Surgery Physician	209998	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659470219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIELLE R BAJAKIAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 27036
Second Line	:	COLUMBIA UNIV.
City	:	NEW YORK
State	:	NY
Zip	:	10087-7036
Country	:	US
Telephone Number	:	212-932-5169
Fax Number	:	212-932-5468

Provider Business Practice Location Address
First Line	:	161 FT WASHINGTN AVE FL 5
Second Line	:	COLUMBIA UNIVERSITY- DEPT OF SURGEY
City	:	NEW YORK
State	:	NY
Zip	:	10032-3729
Country	:	US
Telephone Number	:	212-932-5169
Fax Number	:	212-932-5468

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	09/18/2013

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Directions to “ DR. DANIELLE R BAJAKIAN M.D.” Practice Location

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