Healthcare Provider Details

I. General information

NPI: 1861837098
Provider Name (Legal Business Name): JINALI DIORA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JINALI PATEL MD

II. Dates (important events)

Enumeration Date: 05/01/2013
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6231 LEESBURG PIKE STE 608
FALLS CHURCH VA
22044-2102
US

IV. Provider business mailing address

6231 LEESBURG PIKE STE 608
FALLS CHURCH VA
22044-2102
US

V. Phone/Fax

Practice location:
  • Phone: 703-534-3900
  • Fax: 703-536-3729
Mailing address:
  • Phone: 937-609-2442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0110X
TaxonomyPediatric Ophthalmology and Strabismus Specialist Physician Physician
License Number0101264221
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0101264221
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: