Individual
SHAILESH BAJAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7900 W JEFFERSON BLVD, SUITE 201, FORT WAYNE, IN 46804-4128
(260) 969-7100
(260) 969-7101
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01061856
IN
207RG0100X
Gastroenterology Physician
036118944
IL
Other
Enumeration date
06/18/2006
Last updated
09/23/2022
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