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:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 1225044035 | NPPES |
| Virginia | MEDICAID | 007313527 | |
| Virginia | Other | 292847 |
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