Qasim M. Bajwa, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

NA Issued in MO

Legal business name

QASIM M. BAJWA, LLC

Practice address

100 W US Highway 60
Dept. of Radiology
Mountain View, MO 65548-8542

Phone

(417) 934-7000

NPI assigned

Sep 8, 2006

Last updated

Nov 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Qasim M Bajwa, MDNPI 1578548517

Title

President

Phone

(314) 550-3494

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Qasim Mustafa Bajwa, MD

  • Diagnostic Radiology Physician
  • Sikeston, MO
  • NPI 1578548517
  NPD (past) Authorized official

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1295839520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 COUNTRY CREEK CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113812",
            "telephone_number": "314-550-3494",
            "fax_number": "636-230-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W US HIGHWAY 60",
            "address_2": "DEPT. OF RADIOLOGY",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "655488542",
            "telephone_number": "417-934-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QASIM M. BAJWA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "QASIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-550-3494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "197819",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DD5708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Paige Nickelson, MOT, OTR/L
• Brett Catherine Niehaus
• Lydia Rose Orr, PHARMD
• Crystal Dawn Phipps, FNP
• Amanda Pyrlik, LMT
• Makenzie Risse
• Amanda Patricia Riviello, BCBA, LBA
• RKJ Holdings LLC (Liberty Pharmacy)
• Diane Leigh Sample
• Schierling Chiropractic, LLC

• Diagnostic Radiology Physician in Mountain View, MO
• Providers in Mountain View, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.