Provider Demographics
NPI:1497028476
Name:BARMA, AJAY K
Entity Type:Individual
Prefix:MR
First Name:AJAY
Middle Name:K
Last Name:BARMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 SEBASTIAN RD
Mailing Address - Street 2:C/O DR. GOEL
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-5733
Mailing Address - Country:US
Mailing Address - Phone:276-639-6613
Mailing Address - Fax:
Practice Address - Street 1:62 SEBASTIAN RD
Practice Address - Street 2:C/O DR. GOEL
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-5733
Practice Address - Country:US
Practice Address - Phone:276-639-6613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306603069225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant