Provider Demographics
NPI:1730568684
Name:BAJNATH, ANIL ASHOK (MD)
Entity type:Individual
Prefix:
First Name:ANIL
Middle Name:ASHOK
Last Name:BAJNATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2953 TIMBERNECK WAY
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-2261
Mailing Address - Country:US
Mailing Address - Phone:954-907-7999
Mailing Address - Fax:
Practice Address - Street 1:2024 WEST ST STE 202
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3555
Practice Address - Country:US
Practice Address - Phone:410-858-4086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0085140207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine