Provider Demographics
NPI:1346869567
Name:BAJWA, SAHIBA (MD)
Entity type:Individual
Prefix:DR
First Name:SAHIBA
Middle Name:
Last Name:BAJWA
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:SAHIBA
Other - Middle Name:
Other - Last Name:BAJWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:999 ADAMS ST STE 105
Mailing Address - Street 2:
Mailing Address - City:SAINT HELENA
Mailing Address - State:CA
Mailing Address - Zip Code:94574-1168
Mailing Address - Country:US
Mailing Address - Phone:650-402-8643
Mailing Address - Fax:
Practice Address - Street 1:999 ADAMS ST STE 105
Practice Address - Street 2:
Practice Address - City:SAINT HELENA
Practice Address - State:CA
Practice Address - Zip Code:94574-1168
Practice Address - Country:US
Practice Address - Phone:650-402-8643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-09
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA191215207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty