Provider Demographics
NPI:1538142856
Name:NIJJAR, AMARJIT S (MD)
Entity Type:Individual
Prefix:DR
First Name:AMARJIT
Middle Name:S
Last Name:NIJJAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 12130
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71315-2130
Mailing Address - Country:US
Mailing Address - Phone:318-448-1514
Mailing Address - Fax:318-448-1514
Practice Address - Street 1:3330 MASONIC DR
Practice Address - Street 2:CHRISTUS ST FRANCES CABRINI HOSPITAL
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3841
Practice Address - Country:US
Practice Address - Phone:318-448-6827
Practice Address - Fax:318-448-6850
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD05510R2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1322121Medicaid