Bajwa, Ata Ur Rahim

Bajwa, Ata Ur Rahim is an individual health care provider with primary practice located at 30 Harrison St Ste 250 , Johnson City NY 13790-2176. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Bajwa, Ata Ur Rahim can be contacted via phone (607) 763-6580.

Contact Information

Primary practice address
30 Harrison St Ste 250 Johnson City NY 13790-2176
Phone: (607) 763-6580
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 315193 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2015025971 Missouri
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 315193 New York
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X MT221839 Pennsylvania

Profile Details

NPI number 1508123688
LBN Legal business name Bajwa, Ata Ur Rahim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2012
Last updated Jul 26th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508123688 NPPES
Missouri MEDICAID 1508123688

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