Jeewan Baniya, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Norton, VA

NPI 1891636742 · NPPES record last updated Apr 3, 2026

Key facts

NPI
1891636742
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
96 15TH St NW Ste 111
Norton Im Clinic
Norton, VA 24273-1600
Phone
(276) 439-1872
Fax
(276) 439-1872
NPI assigned
Apr 3, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

96 15TH St NW Ste 111
Norton Im Clinic
Norton, VA 24273-1600

Mailing address

96 15TH St NW Ste 111
Norton Im Residency Clinic
Norton, VA 24273-1600
Phone (276) 439-1872

Other providers in Norton, VA

All providers in Norton, VA · Student in an Organized Health Care Education/Training Program in Virginia

Sources for this page

Verify at the official NPI Registry.