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Individual

RAVINDER S BAJWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 HILLMONT AVE STE 502, VENTURA, CA 93003-1651
(805) 652-6222
(805) 652-6221
Mailing address
800 S VICTORIA AVE # L4640, VENTURA, CA 93009-0003
(805) 652-6222
(805) 652-6221

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A85528
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A85528
CA
207RP1001X
Pulmonary Disease Physician
A85528
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A855280
CA
Enumeration date
11/20/2006
Last updated
08/21/2021
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