Individual
SAMIR S BAJWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13945 S VIRGINIA ST STE 632, RENO, NV 89511-8930
(775) 982-5000
(775) 982-3900
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-3900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO2979
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15130200
CAQH ID
NV
Enumeration date
03/28/2018
Last updated
01/27/2023
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