Individual
BALRAJ S BAJAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
7605 FOREST AVENUE, SUITE 103, RICHMOND, VA 23229-4936
(804) 285-4025
(804) 288-2659
Mailing address
DEPT. 453 PO BOX 1000, MEMPHIS, TN 38148-0001
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101267271
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760869754
—
VA
01
—
VAC617A
MEDICARE PTAN
VA
Enumeration date
04/29/2015
Last updated
05/02/2022
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