Individual
AZRA RAYAZ JAGANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11125 ROCKVILLE PIKE STE 307, ROCKVILLE, MD 20852-3142
(301) 468-6171
(301) 468-6172
Mailing address
11125 ROCKVILLE PIKE STE 307, ROCKVILLE, MD 20852-3142
(301) 468-6171
(301) 468-6172
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0091794
MD
2080A0000X
Pediatric Adolescent Medicine Physician
K6018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106284603
—
TX
Enumeration date
05/22/2006
Last updated
06/15/2021
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