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Individual

AJAY SINGH BAJWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2555 COURT DR, SUITE 200, GASTONIA, NC 28054-2134
(704) 867-2141
(704) 867-2308
Mailing address
2240 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 671-5311
(704) 671-5308

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
200200490
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89131NP
NC
05
N00494
SC
01
P00223116
RAILROAD MEDICARE
NC
Enumeration date
09/27/2005
Last updated
03/01/2010
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