Individual
VIVEK GORIJALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6354 WALKER LN STE 450, ALEXANDRIA, VA 22310-3252
(571) 534-3900
Mailing address
6354 WALKER LN STE 450, ALEXANDRIA, VA 22310-3252
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101288866
VA
2084P0800X
Psychiatry Physician
MD489859
PA
390200000X
Student in an Organized Health Care Education/Training Program
HS000009L
PA
Other
Enumeration date
06/01/2022
Last updated
03/31/2026
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