Provider Demographics
NPI:1942216460
Name:BAWEJA, KANWARPREET SINGH (MD)
Entity Type:Individual
Prefix:
First Name:KANWARPREET
Middle Name:SINGH
Last Name:BAWEJA
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 1:4144 GREYSTONE WAY
Mailing Address - Street 2:UNIT 601
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3052
Mailing Address - Country:US
Mailing Address - Phone:832-668-6278
Mailing Address - Fax:
Practice Address - Street 1:4144 GREYSTONE WAY
Practice Address - Street 2:UNIT 601
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3052
Practice Address - Country:US
Practice Address - Phone:832-668-6278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2012-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTEMPORARY207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193621301Medicaid
TX193621301Medicaid