Individual
DR. JASMOHAN S BAJAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, INTERNAL MEDICINE, RICHMOND, VA 23298-5051
(804) 828-8508
(804) 828-5348
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101243529
VA
207RG0100X
Gastroenterology Physician
45285
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008806261G
HUMANA
—
05
—
34621600
—
WI
Enumeration date
05/12/2006
Last updated
08/06/2008
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