Bajwa, Raghubinder K
Bajwa, Raghubinder K is an individual health care provider with primary practice located at 490 Blue Hills Ave Suite 103, Hartford CT 06112. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Bajwa, Raghubinder K can be contacted via phone (608) 714-2647.Contact Information
Primary practice address
490 Blue Hills Ave Suite 103
Hartford CT 06112
Phone: (608) 714-2647
Fax: (608) 714-8517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 29145 | Connecticut |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 60569 | Massachusetts |
Profile Details
| NPI number | 1508817107 |
|---|---|
| LBN Legal business name | Bajwa, Raghubinder K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Nov 11th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508817107 | NPPES |
| Massachusetts | MEDICAID | 3051323 | |
| Massachusetts | Other | J08214 |
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