Provider Demographics
NPI:1699357673
Name:BAJWA, MANPREET SINGH (MD)
Entity Type:Individual
Prefix:MR
First Name:MANPREET
Middle Name:SINGH
Last Name:BAJWA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 HARDY STREET
Mailing Address - Street 2:MERIT HEALTH WESLEY HOSPITAL
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402
Mailing Address - Country:US
Mailing Address - Phone:601-268-5200
Mailing Address - Fax:
Practice Address - Street 1:MERIT HEALTH WESLEY
Practice Address - Street 2:5001 HARDY STREET
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402
Practice Address - Country:US
Practice Address - Phone:601-296-3963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-28
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program