Individual
DR. AMANDEEP S BAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
827 LINDEN AVE, BALTIMORE, MD 21201-4606
(410) 362-3000
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0062375
MD
207RP1001X
Pulmonary Disease Physician
D62375
MD
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
D62375
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407966300
—
MD
Enumeration date
01/30/2006
Last updated
05/08/2013
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