Provider Demographics
NPI:1477931053
Name:SAJJA, KRISHNA CHAITANYA (MD)
Entity type:Individual
Prefix:
First Name:KRISHNA
Middle Name:CHAITANYA
Last Name:SAJJA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 VISION PARK BLVD STE 280
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3032
Mailing Address - Country:US
Mailing Address - Phone:281-978-4714
Mailing Address - Fax:281-419-2111
Practice Address - Street 1:134 VISION PARK BLVD STE 280
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-3032
Practice Address - Country:US
Practice Address - Phone:281-205-1111
Practice Address - Fax:281-419-2111
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR1634207RG0100X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine