Individual
GURJYOT BAJWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2575
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
18365
ND
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35-092383
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD442954
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0264776
—
NJ
05
—
102608836
—
PA
Enumeration date
01/22/2009
Last updated
08/18/2022
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