Provider Demographics
NPI:1003416967
Name:BAJRACHARYA, ASHIK KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHIK
Middle Name:KUMAR
Last Name:BAJRACHARYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ASHIK
Other - Middle Name:KUMAR
Other - Last Name:BAJRACHARYA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:80 GUION PL APT 4X
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-3825
Mailing Address - Country:US
Mailing Address - Phone:917-544-8268
Mailing Address - Fax:
Practice Address - Street 1:16 GUION PLACE
Practice Address - Street 2:NEW ROCHELLE
Practice Address - City:NEWYORK
Practice Address - State:NY
Practice Address - Zip Code:10801-1080
Practice Address - Country:US
Practice Address - Phone:914-632-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101277694207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine