Provider Demographics
NPI:1700310281
Name:BAJWA, ASIMA (MD)
Entity Type:Individual
Prefix:DR
First Name:ASIMA
Middle Name:
Last Name:BAJWA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6720A ROCKLEDGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-9915
Mailing Address - Country:US
Mailing Address - Phone:301-530-5200
Mailing Address - Fax:301-530-5202
Practice Address - Street 1:6720A ROCKLEDGE DR STE 200
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-9915
Practice Address - Country:US
Practice Address - Phone:301-530-5200
Practice Address - Fax:301-530-5202
Is Sole Proprietor?:No
Enumeration Date:2017-04-12
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD210002055207W00000X
VA0101273886207W00000X
CT69190207W00000X
390200000X
MDD0094562207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program