Basic Information
Provider Information
NPI: 1457902900
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAJPAI
FirstName: RAJESH
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: MD, MCH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 223 SOUTH PLEASANT AVENUE
Address2: SUITE 301
City: SOMERSET
State: PA
PostalCode: 15501
CountryCode: US
TelephoneNumber: 8144446181
FaxNumber: 8144446977
Practice Location
Address1: 223 SOUTH PLEASANT AVENUE
Address2: SUITE 301
City: SOMERSET
State: PA
PostalCode: 15501
CountryCode: US
TelephoneNumber: 8144446181
FaxNumber: 8144446977
Other Information
ProviderEnumerationDate: 09/26/2019
LastUpdateDate: 08/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208800000X25875FLN Allopathic & Osteopathic PhysiciansUrology 
208800000XMD472329PAY Allopathic & Osteopathic PhysiciansUrology 

No ID Information.


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