Provider Demographics
NPI:1134504780
Name:JHAJ, GURDEEP SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:GURDEEP
Middle Name:SINGH
Last Name:JHAJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13010 HESPERIA RD STE 101
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-5837
Mailing Address - Country:US
Mailing Address - Phone:442-255-4012
Mailing Address - Fax:442-255-4013
Practice Address - Street 1:13010 HESPERIA RD STE 101
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-5837
Practice Address - Country:US
Practice Address - Phone:818-359-9790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA161860207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology