Provider Demographics
NPI:1164563946
Name:BAVEJA, GITANJALI BHAGIA (MD)
Entity Type:Individual
Prefix:DR
First Name:GITANJALI
Middle Name:BHAGIA
Last Name:BAVEJA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19441 GOLF VISTA PLZ STE 320
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176-8272
Mailing Address - Country:US
Mailing Address - Phone:703-371-8333
Mailing Address - Fax:
Practice Address - Street 1:19441 GOLF VISTA PLZ STE 320
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-8272
Practice Address - Country:US
Practice Address - Phone:703-858-9800
Practice Address - Fax:703-858-9801
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101240419207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology