Provider Demographics
NPI:1306024104
Name:BAGGA, HARMOHINA (MD)
Entity Type:Individual
Prefix:
First Name:HARMOHINA
Middle Name:
Last Name:BAGGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18325 N ALLIED WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85054-3106
Mailing Address - Country:US
Mailing Address - Phone:602-467-4966
Mailing Address - Fax:480-419-5445
Practice Address - Street 1:18325 N ALLIED WAY STE 100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85054-3106
Practice Address - Country:US
Practice Address - Phone:602-467-4966
Practice Address - Fax:480-419-5445
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104390207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology