Healthcare Provider Details

I. General information

NPI: 1528796067
Provider Name (Legal Business Name): RISHABH JINDAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2022
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SUNSET LN
CULPEPER VA
22701-3917
US

IV. Provider business mailing address

PO BOX 748613
ATLANTA GA
30374-8613
US

V. Phone/Fax

Practice location:
  • Phone: 703-396-5292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0101283672
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: