Individual
SAMAN KHAN BAJWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5139 MATTIS RD STE 102, SAINT LOUIS, MO 63128-2250
(314) 396-9517
Mailing address
5139 MATTIS RD STE 102, SAINT LOUIS, MO 63128-2250
(314) 396-9517
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
06/04/2026
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