Individual
HARPRIT K BAJWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3106 PONTE MORINO DR, SUITE B, CAMERON PARK, CA 95682-8277
(530) 676-3668
(530) 676-3666
Mailing address
3106 PONTE MORINO DR, SUITE B, CAMERON PARK, CA 95682-8277
(530) 676-3668
(530) 676-3666
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E4574
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E4574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E45740
CA LICENSE
CA
Enumeration date
05/11/2006
Last updated
05/22/2008
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