Provider Demographics
NPI:1932491503
Name:BAJAJ, PRITI KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:PRITI
Middle Name:KAUR
Last Name:BAJAJ
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 1:9 PARK CENTER CT
Mailing Address - Street 2:SUITE 150
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5623
Mailing Address - Country:US
Mailing Address - Phone:410-902-7710
Mailing Address - Fax:
Practice Address - Street 1:9 PARK CENTER CT
Practice Address - Street 2:SUITE 150
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5623
Practice Address - Country:US
Practice Address - Phone:410-902-7710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-13
Last Update Date:2014-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD77418208000000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics