Provider Demographics
NPI:1982118725
Name:PARMJIT S AUJLA MD PC
Entity Type:Organization
Organization Name:PARMJIT S AUJLA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PARMJIT
Authorized Official - Middle Name:S
Authorized Official - Last Name:AUJLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-984-3100
Mailing Address - Street 1:5632 ANNAPOLIS RD STE 13
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-2213
Mailing Address - Country:US
Mailing Address - Phone:301-699-8333
Mailing Address - Fax:301-699-9344
Practice Address - Street 1:11125 ROCKVILLE PIKE STE 110
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3142
Practice Address - Country:US
Practice Address - Phone:301-984-3100
Practice Address - Fax:301-984-3130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-30
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD42580207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD347551400Medicaid