Individual
DR. WALED BAHAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8111 S EMERSON AVE STE 105, INDIANAPOLIS, IN 46237-8601
(317) 528-5500
(317) 528-6316
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01095009A
IN
207R00000X
Internal Medicine Physician
2020019938
MO
207R00000X
Internal Medicine Physician
56587
KY
Other
Enumeration date
04/04/2016
Last updated
06/30/2025
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