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DR. AMANDEEP S BAWA

Other Service Providers Specialist

Provider NPI: 1720059645

Provider Information:
DR. AMANDEEP S BAWA 
Gender: M
Not Sole Proprietor

Practice Location:
827 LINDEN AVE  BALTIMORE, MD 21201-4606 US
Tel: 410-362-3000  Fax: --

Business Mailing Address:
PO BOX 64442  BALTIMORE, MD 21264-4442 US
Tel: --  Fax: --

NPI Information:
NPI: 1720059645
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N174400000XOther Service Providers
Specialist
MDD0062375
N207RP1001XPhysicians
Internal Medicine
MDD62375
Y207RS0012XPhysicians
Internal Medicine
MDD62375

Other Provider Identifiers:

IssuerNumberStateType
407966300MD05



American Medical Association 2012 taxonomy code information

Code: 207RS0012X

Type:

Classification:



Definition:



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