Basic Information
| Provider Information | |||||||||
| NPI: | 1174870521 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BAJPAI | ||||||||
| FirstName: | GEETIKA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARM D. | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 1333 W BROAD ST APT 314 | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232203061 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1303 E HERNDON AVE | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937203309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5594503000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/04/2012 | ||||||||
| LastUpdateDate: | 11/03/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 11/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 0202211602 | VA | Y | Pharmacy Service Providers | Pharmacist |
ID Information
| ID | Type | State | Issuer | Description | 4829682 | 01 | VA | NABP | OTHER | 4829884 | 01 | VA | NABP | OTHER | 4832019 | 01 | VA | NABP | OTHER | 4841272 | 01 | VA | NABP | OTHER | 4829872 | 01 | VA | NABP | OTHER | 4838491 | 01 | VA | NABP | OTHER | 4840991 | 01 | VA | NABP | OTHER | 4830217 | 01 | VA | NABP | OTHER | 4834176 | 01 | VA | NABP | OTHER | 4830205 | 01 | VA | NABP | OTHER | 4838504 | 01 | VA | NABP | OTHER | 4840446 | 01 | VA | NABP | OTHER |