Organization
QASIM M. BAJWA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QASIM M BAJWA MD (PRESIDENT)
(314) 550-3494
Entity
Organization
Contact information
Practice address
100 W US HIGHWAY 60, DEPT. OF RADIOLOGY, MOUNTAIN VIEW, MO 65548-8542
(417) 934-7000
Mailing address
104 COUNTRY CREEK CT, BALLWIN, MO 63011-3812
(314) 550-3494
(636) 230-5732
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
NA
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197819
BCBS
MO
01
—
DD5708
MEDICARE RAILROAD
—
Enumeration date
09/08/2006
Last updated
11/21/2007
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