| Organization Name: | HARPRIT K. BAJWA, D.P.M., INC |
| NPI Number: | 1063645281 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HARPRIT KAUR BAJWA (PRESIDENT/ SECRETARY/OWNER) |
| Mailing Address: | 3106 Ponte Morino Dr Suite B Cameron Park |
| State: | CA US |
| Postal Code: | 956828281 |
| Phone Number: | 5306763668 |
| Fax Number: | 5306763666 |
| NPI Enumeration Date: | 09/04/2009 |
| NPI Last Update Date: | 03/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E4574 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |