Provider Demographics
NPI:1679671333
Name:BAJAJ, DEEPIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:DEEPIKA
Middle Name:
Last Name:BAJAJ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5814 JUNCTION BLVD
Mailing Address - Street 2:F 4
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-5155
Mailing Address - Country:US
Mailing Address - Phone:718-271-8185
Mailing Address - Fax:718-271-4275
Practice Address - Street 1:5814 JUNCTION BLVD
Practice Address - Street 2:F4
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-5155
Practice Address - Country:US
Practice Address - Phone:718-271-8185
Practice Address - Fax:718-271-4275
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2011-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1480542084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA98197Medicare UPIN