Healthcare Provider Details

I. General information

NPI: 1962818252
Provider Name (Legal Business Name): JIGAR SITAPARA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2014
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10285 LITTLE PATUXENT PKWY STE 250
COLUMBIA MD
21044-3412
US

IV. Provider business mailing address

6050 BRICKER RD
DAYTON MD
21036-1248
US

V. Phone/Fax

Practice location:
  • Phone: 301-302-7272
  • Fax:
Mailing address:
  • Phone: 301-580-6941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License NumberD0089222
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: