Healthcare Provider Details

I. General information

NPI: 1922599877
Provider Name (Legal Business Name): HIRAL JANAK PADIA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2018
Last Update Date: 10/18/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N GLEBE RD STE 316
ARLINGTON VA
22203-3755
US

IV. Provider business mailing address

224-D CORNWALL STREET, NW. SUITE 403
LEESBURG VA
20176-3755
US

V. Phone/Fax

Practice location:
  • Phone: 703-729-3420
  • Fax:
Mailing address:
  • Phone: 703-737-6010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number0102207867
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberH97829
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: