Dr. Priya Jagannathan, MD
Family Medicine, Adult Medicine in Springfield, VA. Individual provider (NPI-1).
NPI number1164534269
StatusActive
Last updated in NPPESDec 14, 2021
Details
- NPI
- 1164534269
- Entity type
- Individual (NPI-1)
- Name
- Dr. Priya Jagannathan
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Dec 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | 0101242967 | VA | Yes |
Practice location
6501 Loisdale CtSpringfield, VA 22150-1826
Phone 703-944-7662
Mailing address
4292 Marly Garden Ln Apt 202Fairfax, VA 22033-6407
Phone 703-944-7662
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