Individual
DR. VIJAYENDRA RAO JALIGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1945 OLD GALLOWS RD STE 210, VIENNA, VA 22182-3931
(571) 470-6243
(571) 200-2617
Mailing address
1945 OLD GALLOWS RD STE 210, VIENNA, VA 22182-3931
(571) 470-6243
(571) 200-2617
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
027061
LA
207RC0000X
Cardiovascular Disease Physician
Primary
0101278527
VA
207RC0000X
Cardiovascular Disease Physician
027061
LA
207RC0000X
Cardiovascular Disease Physician
2021040384
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043346
—
LA
Enumeration date
07/21/2006
Last updated
09/16/2025
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