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Individual
KELASH BAJAJ
Active
Individual
KELASH BAJAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101123456
VA
207RH0003X
Hematology & Oncology Physician
Primary
Q3212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381708201
—
TX
Enumeration date
06/21/2012
Last updated
11/04/2019
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