Provider Demographics
NPI:1003011214
Name:BAJAJ, BHAVANDEEP SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:BHAVANDEEP
Middle Name:SINGH
Last Name:BAJAJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3345 WILKENS AVENUE
Mailing Address - Street 2:SUITE L10
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-5213
Mailing Address - Country:US
Mailing Address - Phone:410-644-4444
Mailing Address - Fax:410-644-4484
Practice Address - Street 1:3345 WILKENS AVENUE
Practice Address - Street 2:SUITE L10
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5213
Practice Address - Country:US
Practice Address - Phone:410-644-4444
Practice Address - Fax:410-644-4484
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0070917207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine