DR. JUGAL DHARIA (NPI# 1174940449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174940449 |
Entity Type | Individual |
Full Name | DR. JUGAL DHARIA |
Credential | DPM |
Practice Address |
10721 Main St Ste 3500 Fairfax VA 22030-6909 |
Mailing Address |
10721 Main St Suite #3500 Fairfax VA 22030 |
Practice Telephone | (703) 352-8888 |
Practice Fax Number | 7033528994 |
Mailing Telephone | (703) 352-8888 |
Mailing Fax Number | 7033528994 |
Enumeration Date | 2014-03-25 |
Last Update Date | 2017-09-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0103301208 | VA | Podiatric Medicine & Surgery Service Providers |
Street Address |
10721 MAIN ST STE 3500 |
City | FAIRFAX |
State | VA |
Zip Code | 22030-6909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992981492 | Steven R Vetter | Durable Medical Equipment & Medical Supplies | 10721 Main St Ste 3500, Fairfax, VA 22030-6909 | 2008-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
Find all providers in zip 22030 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710369293 | Samuel Tischler | Podiatrist | 3302 Lothian Rd, Fairfax, VA 22031-4842 | 2015-06-22 |
1598712150 | My Hoa Kaas Dpm PC | Podiatrist | 2826 Old Lee Highway #220, Fairfax, VA 22031-4323 | 2006-05-28 |
1174516819 | Richard Scott Mendelsohn | Podiatrist | 9918 Main St, Fairfax, VA 22031-3901 | 2005-08-29 |
1255628350 | Corine Leigh Creech | Podiatrist | 8501 Arlington Blvd Ste 200, Fairfax, VA 22031-4625 | 2011-07-09 |
1649573205 | Jay Daniel Ryan | Podiatrist | 2826 Old Lee Hwy, Suite 220, Fairfax, VA 22031-4323 | 2010-12-20 |
1548575780 | Apna Podiatry | Podiatrist | 3650 Joseph Siewick Dr, Suite 200, Fairfax, VA 22033-1710 | 2010-08-12 |
1073831780 | Fair Oaks Podiatry and Sports | Podiatrist | 3620 Joseph Siewick Dr, 303, Fairfax, VA 22033-1756 | 2010-05-06 |
1912140310 | Fair Oaks Podiatry and Sports | Podiatrist | 3620 Joseph Siewick Dr, Suite 303, Fairfax, VA 22033-1756 | 2009-04-14 |
1376795765 | Associated Foot & Ankle Centers of Northern Virginia PC | Podiatrist | 10730 Main St, Fairfax, VA 22030-3704 | 2008-10-16 |
1073655643 | Rostana Said | Podiatrist | 10721 Main St, Suite 103, Fairfax, VA 22030-6914 | 2007-02-12 |
Find all providers in FAIRFAX |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.