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Organization

IMRAN M BAJWA MD LLC

Active
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Organization

IMRAN M BAJWA MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHERRY L FRITZ (OFFICE MANAGER)
(724) 349-8825
Entity
Organization

Contact information

Practice address
850 HOSPITAL ROAD, SUITE 2400, INDIANA, PA 15701
(724) 349-8825
(724) 349-8826
Mailing address
850 HOSPITAL ROAD, SUITE 2400, INDIANA, PA 15701
(724) 349-8825
(724) 349-8826

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
Primary
MD052043L
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000926556
HIGHMARK BLUE SHIELD
PA
05
0014812010010
PA
Enumeration date
12/06/2006
Last updated
01/15/2008
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