Individual provider · NPI-1

Dr. Sara Bajuyo, M.D.

Family Medicine · Mishawaka, IN

NPI number1346273117
StatusActive
Last updated in NPPESFeb 20, 2025

Details

NPI
1346273117
Entity type
Individual (NPI-1)
Name
Dr. Sara Bajuyo
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2006
Certification date
Feb 20, 2025
Last updated
Feb 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine01060961AINYes

Practice location

620 W Edison Rd Ste 132
Mishawaka, IN 46545-2784

Phone 574-369-6393 · Fax 574-261-3129

Mailing address

620 W Edison Rd Ste 132
Mishawaka, IN 46545-2784

Phone 574-369-6393 · Fax 574-261-3129

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