Provider Demographics
NPI:1376522003
Name:BAKSHI, SAROJ S (MD)
Entity Type:Individual
Prefix:DR
First Name:SAROJ
Middle Name:S
Last Name:BAKSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:20921 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-2400
Mailing Address - Country:US
Mailing Address - Phone:718-225-0428
Mailing Address - Fax:718-901-1118
Practice Address - Street 1:308 E 175TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-5804
Practice Address - Country:US
Practice Address - Phone:718-960-7618
Practice Address - Fax:718-901-1118
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1245872080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00233578Medicaid
NY00233578Medicaid
NYB78363Medicare UPIN