Doctor Name: | HARPRIT K BAJWA |
NPI Number: | 1073563938 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | E4574 |
Business Practice Address: | 3106 Ponte Morino Dr Suite B Cameron Park, CA - 956828277 |
Business Phone Number: | 5306763668 |
Business Fax Number: | 5306763666 |
Mailing Address: | 3106 Ponte Morino Dr, Suite B CAMERON PARK |
State: | CA |
Postal Code: | 956828277 |
Phone Number: | 5306763668 |
Fax Number: | 5306763666 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 05/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E4574 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |