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Individual

RAHULJIT SINGH BAJWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-5067
(585) 922-2908
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-5067
(585) 922-2908

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
270712
NY
208M00000X
Hospitalist Physician
Primary
270712
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01131126 RGH GRP
NY
05
03007063 NWK GRP
NY
05
03613045
NY
Enumeration date
06/17/2010
Last updated
12/21/2021
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