Provider Demographics
NPI:1568458016
Name:BAJWA, RAJBIR SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJBIR
Middle Name:SINGH
Last Name:BAJWA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:830 W HIGH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-3971
Mailing Address - Country:US
Mailing Address - Phone:419-222-4045
Mailing Address - Fax:419-228-5665
Practice Address - Street 1:830 W HIGH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-3971
Practice Address - Country:US
Practice Address - Phone:419-222-4045
Practice Address - Fax:419-228-5665
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH3569621208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH00000012834OtherANTHEM BC/BS
OH0213638Medicaid
OH000000523222OtherANTHEM
OH5021422OtherAETNA
OH000000126833OtherANTHEM BENEFITS SERVICES
OH1843994OtherUNITED HEALTHCARE
OH341086500005OtherMEDICAL MUTUAL
OH00000012834OtherANTHEM BC/BS