MRIDUL KAUR BAJWA MD
NPI 1659215465
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Mridul Bajwa's NPI number?

The NPI number for Mridul Bajwa is 1659215465. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Q: What is Mridul Bajwa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mridul Bajwa was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 14, 2026PECOS Enrolled

22201 MOROSS RD STE 50, DETROIT, MI 48236(313) 343-7774(313) 343-8747 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mridul Kaur Bajwa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRIDUL KAUR BAJWA MD (NPI 1659215465) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659215465

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMRIDUL KAUR BAJWACredential: MD

Location Address22201 MOROSS RD STE 50Detroit, MI 48236-2166

Mailing Address22201 Moross Rd Ste 50Detroit, MI 48236-2166 · (313) 343-7774 · Fax (313) 343-8747

Phone(313) 343-7774

Fax(313) 343-8747

Sole ProprietorYes

Enumeration DateApril 14, 2026

NPPES CertifiedApril 14, 2026

✔ NPI 1659215465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22201 MOROSS RD STE 50, Detroit, MI 48236

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mridul Kaur Bajwa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMR EL-MOUSA

Student in an Organized Health Care Education/Training Program