Provider Demographics
NPI:1477752509
Name:AUJLA, SATNAM SINGH (MD)
Entity Type:Individual
Prefix:
First Name:SATNAM
Middle Name:SINGH
Last Name:AUJLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SATNAM
Other - Middle Name:
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1336 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-4708
Mailing Address - Country:US
Mailing Address - Phone:540-389-0374
Mailing Address - Fax:540-389-0501
Practice Address - Street 1:1336 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-4708
Practice Address - Country:US
Practice Address - Phone:540-389-0374
Practice Address - Fax:540-389-0501
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101247209207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine