Sami Bajwa
in Fresno, CA. Individual provider (NPI-1).
NPI number1437579851
StatusActive
Last updated in NPPESDec 20, 2021
Details
- NPI
- 1437579851
- Entity type
- Individual (NPI-1)
- Name
- Sami Bajwa
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2014
- Certification date
- Jun 22, 2020
- Last updated
- Dec 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0600X | A152814 | CA | Yes |
Practice location
7240 N Van Ness BlvdFresno, CA 93711-0470
Phone 559-779-6982
Mailing address
7240 N Van Ness BlvdFresno, CA 93711-0470
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