Provider Demographics
NPI:1306890538
Name:JOGLEKAR, JAY J (MD)
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:J
Last Name:JOGLEKAR
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 1:172 LINDEN DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2891
Mailing Address - Country:US
Mailing Address - Phone:540-722-8172
Mailing Address - Fax:540-723-0386
Practice Address - Street 1:172 LINDEN DR STE 100
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2892
Practice Address - Country:US
Practice Address - Phone:540-722-8172
Practice Address - Fax:540-723-8772
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237505207R00000X
VAME155295207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I32471Medicare UPIN
VAP00310411Medicare PIN
VA007660I71Medicare PIN