Individual
DR. JALAJ CHANDNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 376-1939
(740) 374-1693
Mailing address
5700 DARROW RD, SUITE 106, HUDSON, OH 44236-5021
(330) 656-5911
(330) 656-5901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20670
WV
207P00000X
Emergency Medicine Physician
Primary
35.070350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001716464
WV BC/BS
—
05
—
0079521000
—
WV
05
—
0289948
—
OH
01
—
1040766
WV DWC BRICKSTREET
WV
Enumeration date
12/20/2005
Last updated
07/13/2021
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