Mira A Bajaj
Mira A Bajaj is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
55 Fruit StBoston, MA 02114-2621
Phone: (410) 955-5000
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Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 3016314 (MA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1740941970 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 10, 2022 |
| Last updated in NPPES | April 12, 2024 |
| Certification date | April 12, 2024 |
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