Individual
SHANTA BAJAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
96-10 METROPOLITAN AVE, FOREST HILLS, NY 11375-6625
(718) 459-0400
(718) 286-3863
Mailing address
1000 ZECKENDORF BLVD, GARDEN CITY, NY 11530-2133
(516) 542-6880
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
125777
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01838586
—
NY
Enumeration date
05/24/2006
Last updated
10/05/2011
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