Provider Demographics
NPI:1346869567
Name:BAJWA, SAHIBA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAHIBA
Middle Name:
Last Name:BAJWA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SAHIBA
Other - Middle Name:
Other - Last Name:BAJWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2404 VAN DER GOES WAY
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95356-0488
Mailing Address - Country:US
Mailing Address - Phone:650-402-8643
Mailing Address - Fax:
Practice Address - Street 1:UAMS NORTHWEST CAMPUS
Practice Address - Street 2:1125 N. COLLEGE AVENUE, SLOT 100
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-1908
Practice Address - Country:US
Practice Address - Phone:479-713-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-09
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program