Provider Demographics
NPI:1750348025
Name:BAJWA, GAGANDEEP SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:GAGANDEEP
Middle Name:SINGH
Last Name:BAJWA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4643 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CA
Mailing Address - Zip Code:95368-9308
Mailing Address - Country:US
Mailing Address - Phone:209-204-8942
Mailing Address - Fax:209-576-1768
Practice Address - Street 1:1620 CUMMINS DR
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95358-6400
Practice Address - Country:US
Practice Address - Phone:209-576-1750
Practice Address - Fax:209-576-1768
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2024-02-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA902622084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry