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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