Individual
EKTA BAJAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10750 W MCDOWELL RD, AVONDALE, AZ 85392-5960
(623) 873-0321
(623) 849-9623
Mailing address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
52865
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200324
—
AZ
Enumeration date
03/22/2013
Last updated
11/08/2017
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