Individual
SAKSHI BAJAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
119 BIRCHWOOD PARK DR, JERICHO, NY 11753-2239
(516) 637-4409
Mailing address
119 BIRCHWOOD PARK DR, JERICHO, NY 11753-2239
(516) 637-4409
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
003145-1
NY
2084N0400X
Neurology Physician
2007-01307
NC
2084N0400X
Neurology Physician
Primary
289145
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147CH
BCBS
NC
05
—
1922298348
—
VA
05
—
3810010458
—
WV
05
—
5908112
—
NC
01
—
810622
PARTNERS
NC
01
—
9471118
AETNA
—
05
—
Q0130C
—
SC
Enumeration date
08/01/2007
Last updated
10/26/2017
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