Provider Demographics
NPI:1912138942
Name:BAJWA, ALIA RAMOS (MD)
Entity type:Individual
Prefix:DR
First Name:ALIA
Middle Name:RAMOS
Last Name:BAJWA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALIA
Other - Middle Name:ESPALDON
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1810 LIACOURAS WALK
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19122-6026
Mailing Address - Country:US
Mailing Address - Phone:215-204-7276
Mailing Address - Fax:
Practice Address - Street 1:1810 LIACOURAS WALK
Practice Address - Street 2:5TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122-6026
Practice Address - Country:US
Practice Address - Phone:215-204-7276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4494732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry