Individual
DR. JAYANTA KUMAR DIRGHANGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22505 LANDMARK CT STE 210B, ASHBURN, VA 20148-6500
(571) 612-6350
(571) 612-6351
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD12656
TN
207V00000X
Obstetrics & Gynecology Physician
Primary
0101271612
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621415063
TAX ID
TN
Enumeration date
11/16/2006
Last updated
10/26/2022
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