Organization Active NPI

Jariwala Health Services LLC

  • Family Medicine Physician
  • Waldorf, MD
National Provider Identifier
1427245745
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0057999 Issued in MD
Legal business name
JARIWALA HEALTH SERVICES LLC
Practice address
11637 Terrace Dr
Suite 103
Waldorf, MD 20602-3706
Phone
(301) 885-3811
Fax
(301) 885-2177
NPI assigned
Oct 1, 2007
Last updated
Jun 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Manisha J Jariwala, MD
Title
Ceo
Phone
(301) 885-3811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0057999 MD Primary

Addresses

Primary practice location

11637 Terrace Dr
Suite 103
Waldorf, MD 20602-3706

Mailing address

11637 Terrace Dr
Suite 103
Waldorf, MD 20602-3706
Phone (301) 885-3811

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1427245745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11637 TERRACE DR",
            "address_2": "SUITE 103",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023706",
            "telephone_number": "301-885-3811",
            "fax_number": "301-885-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11637 TERRACE DR",
            "address_2": "SUITE 103",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023706",
            "telephone_number": "301-885-3811",
            "fax_number": "301-885-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARIWALA HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "JARIWALA",
        "authorized_official_first_name": "MANISHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-885-3811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0057999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.