Provider Demographics
NPI:1790879740
Name:PARAMJIT SINGH BAJAJ M.D. INC
Entity Type:Organization
Organization Name:PARAMJIT SINGH BAJAJ M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PARAMJIT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BAJAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-810-8448
Mailing Address - Street 1:8106 N MAY AVE
Mailing Address - Street 2:SUITE # B
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-4545
Mailing Address - Country:US
Mailing Address - Phone:405-810-8448
Mailing Address - Fax:405-810-9755
Practice Address - Street 1:8106 N MAY AVE
Practice Address - Street 2:SUITE # B
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-4545
Practice Address - Country:US
Practice Address - Phone:405-810-8448
Practice Address - Fax:405-810-9755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK9943208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKP00276198OtherRAILROAD MEDICARE
OKP00276198OtherRAILROAD MEDICARE
OK=========003OtherTRICARE
OK064509409Medicare ID - Type UnspecifiedMEDICARE
OKE15945Medicare UPIN