Individual
DR. IMRAN MUSHTAQ BAJWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 HOSPITAL RD, SUITE 2400, INDIANA, PA 15701-3662
(724) 349-8825
(724) 349-8826
Mailing address
9473 OLD ROUTE 56 HWY W, SHELOCTA, PA 15774-8605
(724) 726-9670
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD052043L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014812010010
—
PA
Enumeration date
03/27/2006
Last updated
05/04/2010
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