Provider Demographics
NPI:1487607123
Name:BAJWA, WAHEED KHALID (MD)
Entity type:Individual
Prefix:
First Name:WAHEED
Middle Name:KHALID
Last Name:BAJWA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:160 NE MAYNARD RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-9670
Mailing Address - Country:US
Mailing Address - Phone:919-466-7540
Mailing Address - Fax:919-466-7543
Practice Address - Street 1:160 NE MAYNARD ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513
Practice Address - Country:US
Practice Address - Phone:919-466-7540
Practice Address - Fax:919-466-7543
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2011-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2000010562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCE84099Medicare UPIN