| Tanveer S. Bajwa, Md., Inc. | |
|
5345 N El Dorado St Suite 3 Stockton CA 95207-5872 | |
| (209) 478-4041 | |
| Not Available |
| Full Name | Tanveer S. Bajwa, Md., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5345 N El Dorado St, Stockton, California |
| Authorized Official Name and Position | Tanveer S. Bajwa (PRESIDENT) |
| Authorized Official Contact | 2099937471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanveer S. Bajwa, Md., Inc. 5345 N El Dorado St Suite 3 Stockton CA 95207-5872 Ph: (209) 478-4041 | Tanveer S. Bajwa, Md., Inc. 5345 N El Dorado St Suite 3 Stockton CA 95207-5872 Ph: (209) 478-4041 |
| NPI Number | 1477962645 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 08/12/2014 |
| Medicare PECOS PAC ID | 5193946341 |
|---|---|
| Medicare Enrollment ID | O20141031001659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477962645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A129058 (California) | Primary |
| Provider Name | Tanveer S Bajwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871871681 PECOS PAC ID: 2365661675 Enrollment ID: I20140918002711 |
| Provider Name | Ardeep Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205565199 PECOS PAC ID: 3971977877 Enrollment ID: I20230315003103 |
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