Dr. Vikram S Bajwa, M.D.
Anesthesiology in Carbondale, IL. Individual provider (NPI-1).
NPI number1811240187
StatusActive
Last updated in NPPESDec 14, 2023
Details
- NPI
- 1811240187
- Entity type
- Individual (NPI-1)
- Name
- Dr. Vikram S Bajwa
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2012
- Certification date
- Sep 13, 2021
- Last updated
- Dec 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 036142998 | IL | Yes |
| 207R00000X | Internal Medicine | 57. 021556 | OH |
Practice location
405 W Jackson StCarbondale, IL 62901-1462
Phone 618-549-0721 · Fax 618-529-0449
Mailing address
405 W Jackson StreetSih Medical Group Anesthesiology
Carbondale, IL 62901
Phone 618-549-0721 · Fax 618-529-0449
Other practice locations
1775 Dempster St
Park Ridge, IL 60068-1143
Park Ridge, IL 60068-1143
Phone 847-723-2210 · Fax 847-723-3532
2 S Hospital Dr
Murphysboro, IL 62966-3333
Murphysboro, IL 62966-3333
Phone 618-684-3156 · Fax 618-529-0529
510 Lincoln Dr
Herrin, IL 62948-6334
Herrin, IL 62948-6334
Phone 618-997-6800 · Fax 618-993-8188
201 S 14th St
Herrin, IL 62948-3631
Herrin, IL 62948-3631
Phone 618-941-2171 · Fax 618-351-4919
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