Individual
JAGRAJ SINGH BASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2027 GRAND CANAL BLVD STE 28, STOCKTON, CA 95207-6650
(209) 524-2000
Mailing address
2027 GRAND CANAL BLVD STE 28, STOCKTON, CA 95207-6650
(209) 524-2000
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
A78605
CA
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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