# DR. JAGBIR S BENIWAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134229172
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | MA60489 | NJ | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 10/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0103538 | GHI | — |
| 01 | — | 1125433 | NJ HEALTH | — |
| 01 | — | 3063025 | AETNA | — |
| 01 | — | 6970508 | AMERIGROUP | — |
| 05 | — | 6970508 | — | NJ |
| 01 | — | 91000121202 | AMERICHOICE | — |
| 01 | — | H910001212 | AMERIHEALTH | — |
| 01 | — | J35036 | HEALTHNET | — |
| 01 | — | P00009802 | PALMETTO RR MEDICARE | — |
| 01 | — | P430830 | OXFORD | — |