MEDICARE: MARIA A BAJUYO 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	207QA0401X	Addiction Medicine (Family Medicine) Physician	01060988A	IN
2	207Q00000X	Family Medicine Physician	01060988A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	M400060583	OTHER	IN	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1952313314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA A BAJUYO MD

Provider Business Mailing Address
First Line	:	1255 WINFIELD CT
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46143-3609
Country	:	US
Telephone Number	:	317-925-2229
Fax Number	:

Provider Business Practice Location Address
First Line	:	1255 WINFIELD CT
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46143-3609
Country	:	US
Telephone Number	:	317-925-2229
Fax Number	:

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	04/21/2026

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