Bajwa, Gurnam S

Bajwa, Gurnam S is an individual health care provider with primary practice located at 2206A Wilborn Ave , South Boston VA 24592. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bajwa, Gurnam S can be contacted via phone (434) 572-2744.

Contact Information

Primary practice address
2206A Wilborn Ave South Boston VA 24592
Phone: (434) 572-2744
Fax: (434) 572-2785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101027276 Virginia

Profile Details

NPI number 1225044035
LBN Legal business name Bajwa, Gurnam S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Nov 17th, 2009 - about 15 years ago

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 1225044035 NPPES
Virginia MEDICAID 007313527
Virginia Other 292847

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