Provider Demographics
NPI:1295985398
Name:BAWEJA, ANU (MD)
Entity type:Individual
Prefix:DR
First Name:ANU
Middle Name:
Last Name:BAWEJA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANU
Other - Middle Name:
Other - Last Name:TULSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 3014
Mailing Address - Street 2:1015 DUFF AVENUE
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3014
Mailing Address - Country:US
Mailing Address - Phone:515-239-4435
Mailing Address - Fax:515-239-4758
Practice Address - Street 1:1015 DUFF AVENUE
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3014
Practice Address - Country:US
Practice Address - Phone:515-239-4435
Practice Address - Fax:515-239-4758
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA415042084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology