Individual
DR. QASIM MUSTAFA BAJWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1014 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-9993
(573) 472-9997
Mailing address
104 COUNTRY CREEK CT, BALLWIN, MO 63011-3812
(314) 550-3494
(636) 230-5732
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
102285
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207708611
—
MO
01
—
P00188577
MEDICARE RR W/PALMARIS
MO
01
—
P00236359
MEDICARE RR W/QASIM M. BA
MO
Enumeration date
12/13/2005
Last updated
12/29/2020
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