Jaggu Healthcare & Innovations PLLC
Internal Medicine, Cardiovascular Disease in Vienna, VA. Organization (NPI-2).
NPI number1215794284
StatusActive
Last updated in NPPESAug 31, 2025
Details
- NPI
- 1215794284
- Entity type
- Organization (NPI-2)
- Legal business name
- Jaggu Healthcare & Innovations PLLC
- Organization subpart
- No
- Enumeration date
- Mar 5, 2024
- Certification date
- Aug 31, 2025
- Last updated
- Aug 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Other names
- Jaggu Health (Doing Business As)
Practice location
1945 Old Gallows Rd Ste 210Vienna, VA 22182-3931
Phone 571-470-6243 · Fax 571-200-2617
Mailing address
1945 Old Gallows Rd Ste 210Vienna, VA 22182-3931
Phone 571-470-6243 · Fax 571-200-2617
Authorized official
Vijayendra Rao Jaligam
Ceo
5042893788
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