Individual
JASBIR SANTOKH JOHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
0101055971
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006603173
—
VA
01
—
P00087845
RAILROAD MEDICARE
VA
Enumeration date
08/02/2005
Last updated
01/26/2009
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