Individual
DR. PUJA GAUR KHAITAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 IRVING ST NW STE G253, WASHINGTON, DC 20010-3017
(202) 877-8115
(202) 877-3699
Mailing address
110 IRVING STREET NW, SUITE G253, WASHINGTON, DC 20010
(202) 877-8115
(202) 877-3699
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
M8663
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD045240
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325187802
—
TX
01
—
8DV847
BCBS
TX
01
—
8ED510
BCBS
TX
Enumeration date
03/19/2008
Last updated
07/21/2022
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