Provider Demographics
NPI:1326668401
Name:BAJWA, HAMZA (MD)
Entity Type:Individual
Prefix:
First Name:HAMZA
Middle Name:
Last Name:BAJWA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16310 LYDIA HILL DRIVE
Mailing Address - Street 2:APT 2327
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017
Mailing Address - Country:US
Mailing Address - Phone:567-420-5506
Mailing Address - Fax:419-251-4159
Practice Address - Street 1:10010 KENNERLY RD. 3 SOUTH BRIDGE
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128
Practice Address - Country:US
Practice Address - Phone:314-337-3036
Practice Address - Fax:419-251-4159
Is Sole Proprietor?:No
Enumeration Date:2020-04-20
Last Update Date:2023-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2023028904207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine