Individual
MR. SIKANDER M BAJWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAOM, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000174761
MO
251E00000X
Home Health Agency
1011293
IL
251E00000X
Home Health Agency
830-HH
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2714157826222601
—
IL
Enumeration date
04/09/2008
Last updated
09/15/2021
Update your record
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