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Organization

SUDHIR G. BAJI, M.D. , INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUDHIR G BAJI M.D. (PRESIDENT)
(330) 394-4755
Entity
Organization

Contact information

Practice address
1700 E MARKET ST, SUITE# 110, WARREN, OH 44483-6625
(330) 394-4755
(330) 399-4602
Mailing address
1700 E MARKET ST, SUITE # 110, WARREN, OH 44483-6625
(330) 394-4755
(330) 399-4602

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35-039458
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000129220
ANTHEM BCBS
OH
05
0308045
OH
Enumeration date
05/19/2008
Last updated
05/19/2008
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