Provider Demographics
NPI:1346472503
Name:BHOGAL, HARJIT KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:HARJIT
Middle Name:KAUR
Last Name:BHOGAL
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 1:7605 FOREST AVE
Mailing Address - Street 2:STE 211
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4940
Mailing Address - Country:US
Mailing Address - Phone:804-282-3114
Mailing Address - Fax:804-285-9723
Practice Address - Street 1:14955 SHADY GROVE RD
Practice Address - Street 2:SUITE 150
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-8700
Practice Address - Country:US
Practice Address - Phone:301-340-3252
Practice Address - Fax:301-340-1423
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101248446207RG0100X
VA0116022868390200000X
MDD69705207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program