Individual
SAJUMA BHAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
(757) 686-0541
Mailing address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101262910
VA
207Q00000X
Family Medicine Physician
063294
GA
207Q00000X
Family Medicine Physician
L2753
AL
208M00000X
Hospitalist Physician
Primary
0101262910
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I081197
MEDICARE PTAN
GA
05
—
337850271D
—
GA
Enumeration date
05/23/2007
Last updated
04/11/2024
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