Provider Demographics
NPI:1316438377
Name:PAJHAL, MONIKA (MD)
Entity type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:PAJHAL
Suffix:
Gender:F
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:JENCARE SENIOR MEDICAL CENTER SHOCKOE BOTTOM
Mailing Address - Street 2:1712 EAST BROAD STREET
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223
Mailing Address - Country:US
Mailing Address - Phone:757-446-7934
Mailing Address - Fax:757-446-7921
Practice Address - Street 1:JENCARE SENIOR MEDICAL CENTER SHOCKOE BOTTOM
Practice Address - Street 2:1712 EAST BROAD STREET
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223
Practice Address - Country:US
Practice Address - Phone:804-344-9848
Practice Address - Fax:757-446-7921
Is Sole Proprietor?:No
Enumeration Date:2018-05-25
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0101272749207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program