Provider Demographics
NPI:1033178264
Name:BAJAJ, ANUREET (MD)
Entity Type:Individual
Prefix:DR
First Name:ANUREET
Middle Name:
Last Name:BAJAJ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8106 N MAY AVE
Mailing Address - Street 2:STE. B
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-4545
Mailing Address - Country:US
Mailing Address - Phone:405-810-8448
Mailing Address - Fax:405-810-9755
Practice Address - Street 1:8106 N MAY AVE
Practice Address - Street 2:STE. B
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-4545
Practice Address - Country:US
Practice Address - Phone:405-810-8448
Practice Address - Fax:405-810-9755
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK23249208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH87873Medicare UPIN