Individual
DR. SANJEEV K. JAIRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9105 STONY POINT DR, RICHMOND, VA 23235-1979
(804) 828-4060
(804) 828-5348
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101046803
VA
207RG0100X
Gastroenterology Physician
Primary
0101046803
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6063527
—
VA
Enumeration date
08/10/2005
Last updated
04/19/2024
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