Kamboj, Virender Jit

Kamboj, Virender Jit is an sole proprietor health care provider with primary practice located at 2522 Grand Canal Blvd , Stockton CA 95207-8213. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kamboj, Virender Jit can be contacted via phone (209) 952-1434.

Contact Information

Primary practice address
2522 Grand Canal Blvd Stockton CA 95207-8213
Phone: (209) 952-1434
Fax: (209) 952-5059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A36755 California
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X A36755 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X A36755 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A36755 California

Profile Details

NPI number 1548317167
LBN Legal business name Kamboj, Virender Jit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Sep 17th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548317167 NPPES
California Other A36755 CA STATE MEDICAL LIS.
California MEDICAID 00A367550 CA STATE MEDICAL LIS.

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