# JARIWALA HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1427245745
- **Authorized official:** DR. MANISHA J JARIWALA MD (CEO)
- **Authorized official phone:** (301) 885-3811

## Contact information

- **Practice address:** 11637 TERRACE DR, SUITE 103, WALDORF, MD 20602-3706
- **Practice address phone:** (301) 885-3811
- **Practice address fax:** (301) 885-2177
- **Mailing address:** 11637 TERRACE DR, SUITE 103, WALDORF, MD 20602-3706
- **Mailing address phone:** (301) 885-3811
- **Mailing address fax:** (301) 885-2177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0057999 | MD | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 06/03/2010