Individual provider · Type 1 NPI

Priya Jagannathan, MD

Adult Medicine Physician · Springfield, VA

NPI number 1164534269 Active

Practice location

6501 Loisdale Ct
Springfield, VA 22150-1826

Mailing address

4292 Marly Garden Ln Apt 202
Fairfax, VA 22033-6407

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X0101242967 (VA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1164534269

Priya Jagannathan, MD's National Provider Identifier is 1164534269, issued on Aug 31, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Springfield, VA. The record was last updated on Dec 14, 2021.