Provider Demographics
NPI:1962818252
Name:SITAPARA, JIGAR (MD)
Entity Type:Individual
Prefix:
First Name:JIGAR
Middle Name:
Last Name:SITAPARA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7201 WISCONSIN AVE STE 515
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4998
Mailing Address - Country:US
Mailing Address - Phone:301-652-8191
Mailing Address - Fax:
Practice Address - Street 1:7201 WISCONSIN AVE STE 515
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4998
Practice Address - Country:US
Practice Address - Phone:301-652-8191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MDD0089222207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program