Individual
JASBIR SANTOKH JOHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-2788
Mailing address
PO BOX 221322, CHANTILLY, VA 20153
(703) 691-2516
(703) 691-3526
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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