Provider Demographics
NPI:1013259134
Name:BRAR, JASMIT SINGH (MD)
Entity Type:Individual
Prefix:
First Name:JASMIT
Middle Name:SINGH
Last Name:BRAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11350 MCCORMICK RD
Mailing Address - Street 2:EXECUTIVE PLAZA 1, SUITE 501
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031
Mailing Address - Country:US
Mailing Address - Phone:410-329-1071
Mailing Address - Fax:410-329-1054
Practice Address - Street 1:19500 SANDRIDGE WAY STE 100
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176
Practice Address - Country:US
Practice Address - Phone:703-738-4344
Practice Address - Fax:703-642-1876
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2021-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101264369208VP0000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine