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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508123688 | NPPES |
| Missouri | MEDICAID | 1508123688 |
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