Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | D0089222 | MD |
NPI | 1962818252 |
---|---|
Provider Name | Jigar Sitapara |
First Address | Bethesda, MD 20814-4998 |
Second Address | Bethesda, MD 20814-4998 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2014 |
Last Update Date | 26/01/2021 |