Gurkaran Bajwa
Physician Assistant in Fremont, CA. Individual provider (NPI-1).
NPI number1457021149
StatusActive
Last updated in NPPESMar 13, 2024
Details
- NPI
- 1457021149
- Entity type
- Individual (NPI-1)
- Name
- Gurkaran Bajwa
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2021
- Certification date
- Mar 13, 2024
- Last updated
- Mar 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA60239 | CA | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363A00000X | Physician Assistant | – | CA |
Practice location
33751 Slender CtFremont, CA 94555-2057
Phone 510-579-8961
Mailing address
33751 Slender CtFremont, CA 94555-2057
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