Provider Demographics
NPI:1649460619
Name:JONEJA, SAURABH R (MD)
Entity type:Individual
Prefix:
First Name:SAURABH
Middle Name:R
Last Name:JONEJA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:810 PARK PL
Mailing Address - Street 2:
Mailing Address - City:MISHAWAKA
Mailing Address - State:IN
Mailing Address - Zip Code:46545-3520
Mailing Address - Country:US
Mailing Address - Phone:574-472-6766
Mailing Address - Fax:574-472-6774
Practice Address - Street 1:270 E DAY RD
Practice Address - Street 2:SUITE 270
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-3444
Practice Address - Country:US
Practice Address - Phone:574-247-5657
Practice Address - Fax:574-472-5658
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2008-05-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN010641562083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine