# JAYANTHAN.M.D.,P.A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316111651
- **Authorized official:** DR. NIRMALADEVI JAYANTHAN (PRESIDENT)
- **Authorized official phone:** (301) 932-4954

## Contact information

- **Practice address:** 3328 OLD WASHINGTON RD, WALDORF, MD 20602-3204
- **Practice address phone:** (301) 932-4954
- **Practice address fax:** (301) 932-5095
- **Mailing address:** 3328 OLD WASHINGTON RD, WALDORF, MD 20602-3204
- **Mailing address phone:** (301) 932-4954
- **Mailing address fax:** (301) 932-5095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D45737 | MD | Yes |

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 03/06/2009