Provider Demographics
NPI:1467401349
Name:BAJAJ ELECTROPHYSIOLOGY
Entity Type:Organization
Organization Name:BAJAJ ELECTROPHYSIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:K
Authorized Official - Last Name:BAJAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:316-683-4800
Mailing Address - Street 1:3243 E MURDOCK ST
Mailing Address - Street 2:SUITE #510
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-3052
Mailing Address - Country:US
Mailing Address - Phone:316-683-4800
Mailing Address - Fax:316-683-4810
Practice Address - Street 1:3243 E MURDOCK ST
Practice Address - Street 2:SUITE #510
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-3052
Practice Address - Country:US
Practice Address - Phone:316-683-4800
Practice Address - Fax:316-683-4810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS111157Medicare ID - Type Unspecified