Gurpreet S Bajwa MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101231157 Issued in VA

Legal business name

GURPREET S BAJWA MD PA

Practice address

8316 Arlington Blvd
Suite 514
Fairfax, VA 22031-5207

Phone

(703) 573-4015

Fax

(703) 280-1859

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gurpreet Singh Bajwa, MD

Title

Owner

Phone

(703) 573-4015

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114966017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD",
            "address_2": "SUITE 514",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315207",
            "telephone_number": "703-573-4015",
            "fax_number": "703-280-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD",
            "address_2": "SUITE 514",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315207",
            "telephone_number": "703-573-4015",
            "fax_number": "703-280-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURPREET S BAJWA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "GURPREET",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-573-4015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101231157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila Gupta, LCSW, PHD, MSW, MPH
• Nupur Gupta, PSYD
• Praveen Kumar Gupta, M.D.
• Priya Gupta, D.M.D.
• Sammy Gurman, DDS
• Tandy Gustin, CRNA
• Brett Gustman, ATC
• Jesus Gutierrez
• Michelle Elizabeth Gutierrez, LCSW
• Yesenia Jacqueline Gutierrez, MS.ED

• Family Medicine Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.