| Jaggu Healthcare & Innovations Pllc | |
|
1945 Old Gallows Rd Ste 535 Vienna VA 22182-3983 | |
| (571) 470-6243 | |
| (571) 200-2617 |
| Full Name | Jaggu Healthcare & Innovations Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1945 Old Gallows Rd Ste 535, Vienna, Virginia |
| Authorized Official Name and Position | Vijayendra Rao Jaligam (CEO) |
| Authorized Official Contact | 5042893788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaggu Healthcare & Innovations Pllc 1945 Old Gallows Rd Ste 535 Vienna VA 22182-3983 Ph: (571) 470-6243 | Jaggu Healthcare & Innovations Pllc 1945 Old Gallows Rd Ste 535 Vienna VA 22182-3983 Ph: (571) 470-6243 |
| NPI Number | 1215794284 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 02/21/2025 |
| Medicare PECOS PAC ID | 0446690861 |
|---|---|
| Medicare Enrollment ID | O20240502002560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215794284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
| Provider Name | Vijayendra Jaligam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770504490 PECOS PAC ID: 7214951896 Enrollment ID: I20240503001980 |
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