Provider Demographics
NPI:1912913898
Name:SAW, BAIJNATH (MD)
Entity Type:Individual
Prefix:DR
First Name:BAIJNATH
Middle Name:
Last Name:SAW
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 1:1450 TREAT BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-2168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5720 STONERIDGE MALL RD
Practice Address - Street 2:STE 330
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-2895
Practice Address - Country:US
Practice Address - Phone:925-734-0336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA037180174400000X
CAA37180207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A371800Medicare ID - Type UnspecifiedMEDICARE PROV NUMBER
CAA28326Medicare UPIN