Basic Information
Provider Information
NPI: 1275846511
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAJ
FirstName: CHRISTOPHER
MiddleName: WILLIAM
NamePrefix:  
NameSuffix:  
Credential: PA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 130 SUTTER ST FL 2
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941044009
CountryCode: US
TelephoneNumber: 4156586791
FaxNumber: 4155200904
Practice Location
Address1: 1827 ADAMS MILL RD NW
Address2: SUITE C
City: WASHINGTON
State: DC
PostalCode: 200091901
CountryCode: US
TelephoneNumber: 2026271903
FaxNumber: 2026600025
Other Information
ProviderEnumerationDate: 07/15/2010
LastUpdateDate: 12/13/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XPA031007DCY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
363AM0700X014135NYN Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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