Individual
RIZWAN S BAJWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036111136
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
399980
GROUP MEDICARE PTAN
—
Enumeration date
05/24/2006
Last updated
11/04/2020
Update your record
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