Imran M Bajwa MD LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MD052043L Issued in PA

Legal business name

IMRAN M BAJWA MD LLC

Practice address

850 Hospital Road
Suite 2400
Indiana, PA 15701

Phone

(724) 349-8825

Fax

(724) 349-8826

NPI assigned

Dec 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Sherry L Fritz

Title

Office Manager

Phone

(724) 349-8825

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Imran Mushtaq Bajwa, M.D.

  • Specialist
  • Indiana, PA
  • NPI 1871553222
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1083773360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HOSPITAL ROAD",
            "address_2": "SUITE 2400",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "15701",
            "telephone_number": "724-349-8825",
            "fax_number": "724-349-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HOSPITAL ROAD",
            "address_2": "SUITE 2400",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "15701",
            "telephone_number": "724-349-8825",
            "fax_number": "724-349-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMRAN M BAJWA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-349-8825",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD052043L",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000926556",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014812010010",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allyson Hunt, LAT, ATC
• Syed Zulqarnein Husaini, MBBS, MD.
• Kimberely June Husenits, PSY.D.
• I and a Residential Services, Inc.
• James A Iannazzi, MD
• In Focus Eye Care LLC
• Indian Springs Eye Associates, PC
• Indiana Adult Day Care Inc
• Indiana Ambulatory Surgical Associates, Inc
• Indiana Anesthesia Associates Inc

• Pulmonary Disease Physician in Indiana, PA
• Providers in Indiana, PA by specialty
• Pulmonary Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.