Provider Demographics
NPI:1295409597
Name:BAJWA, HARKIRAT KAUR
Entity Type:Individual
Prefix:
First Name:HARKIRAT
Middle Name:KAUR
Last Name:BAJWA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 WOLCOTT CMN APT 209
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-3597
Mailing Address - Country:US
Mailing Address - Phone:925-350-1340
Mailing Address - Fax:
Practice Address - Street 1:3300 WOLCOTT CMN APT 209
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-3597
Practice Address - Country:US
Practice Address - Phone:925-350-1340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95049751163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse