Provider Demographics
NPI:1215963889
Name:BAJI, RAJESH (DDS)
Entity type:Individual
Prefix:DR
First Name:RAJESH
Middle Name:
Last Name:BAJI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 YOUNSTOWN WARREN RD.
Mailing Address - Street 2:SUITE 107
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446
Mailing Address - Country:US
Mailing Address - Phone:330-207-6662
Mailing Address - Fax:330-652-3913
Practice Address - Street 1:5700 YOUNSTOWN WARREN RD.
Practice Address - Street 2:SUITE 107
Practice Address - City:NILES
Practice Address - State:OH
Practice Address - Zip Code:44446
Practice Address - Country:US
Practice Address - Phone:330-207-6662
Practice Address - Fax:330-652-3913
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH205921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice