Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 010125528 | VA |
NPI | 1013174523 |
---|---|
Provider Name | Kinjal Sohagia |
First Address | Yorktown, VA 23693-0012 |
Second Address | Newport News, VA 23606-4218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2008 |
Last Update Date | 07/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013174523 | BLUE CROSS BLUE SHIELD (01) | VA |
1013174523 | CIGNA (01) | VA |
1013174523 | HUMANA (01) | VA |
9977594 | AETNA (01) | VA |