Provider Demographics
NPI:1790798064
Name:BAKHSHI, AJAY (MD)
Entity Type:Individual
Prefix:DR
First Name:AJAY
Middle Name:
Last Name:BAKHSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9406 OLD GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-1722
Mailing Address - Country:US
Mailing Address - Phone:301-530-5142
Mailing Address - Fax:301-530-1768
Practice Address - Street 1:9406 OLD GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-1722
Practice Address - Country:US
Practice Address - Phone:301-530-5142
Practice Address - Fax:301-530-1768
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD27427207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD222258200Medicaid
MD3774OtherCAREFIRST DC
MD2146297MD2OtherMDIPA
MD2900016OtherEVERCARE
MD100193OtherKAISER
MD214629ML2OtherMAMSI
MD521618111OtherUNITED HEALTHCARE
MD1324AOtherCAREFIRST
MD06809OtherAMERIGROUP
MD0703885OtherCIGNA
MD1324AOtherBCBS OF NATIONAL ACTS
MD21462970C2OtherOPTIMUM CHOICE
MD400957600Medicaid
MD400957600Medicaid