Bajwa, Qasim Mustafa

Bajwa, Qasim Mustafa is an individual health care provider with primary practice located at 1014 N Main St , Sikeston MO 63801-5044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bajwa, Qasim Mustafa can be contacted via phone (573) 472-9993.

Contact Information

Primary practice address
1014 N Main St Sikeston MO 63801-5044
Fax: (573) 472-9997
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 102285 Missouri

Profile Details

NPI number 1578548517
LBN Legal business name Bajwa, Qasim Mustafa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Dec 29th, 2020 - about 4 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 1578548517 NPPES
Missouri Other P00188577 MEDICARE RR W/PALMARIS
Missouri Other P00236359 MEDICARE RR W/PALMARIS
Missouri MEDICAID 207708611 MEDICARE RR W/PALMARIS

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