MEDICARE: RAJESH BAJAJ 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	207RH0003X	Hematology & Oncology Physician	18723	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	900001005	OTHER	SC	RAILROAD MEDICARE

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972543643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJESH BAJAJ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3239
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29502-3239
Country	:	US
Telephone Number	:	843-777-7951
Fax Number	:	843-777-7981

Provider Business Practice Location Address
First Line	:	401 E CHEVES ST
Second Line	:	SUITE 201
City	:	FLORENCE
State	:	SC
Zip	:	29506-2615
Country	:	US
Telephone Number	:	843-777-7951
Fax Number	:	843-777-7981

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	01/03/2014

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Directions to “ RAJESH BAJAJ M.D.” Practice Location

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