Provider Demographics
NPI:1114731825
Name:VIJAYKUMAR, GIRIJA (RD)
Entity type:Individual
Prefix:MRS
First Name:GIRIJA
Middle Name:
Last Name:VIJAYKUMAR
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40802 MARTINA CT
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-4138
Mailing Address - Country:US
Mailing Address - Phone:703-727-7400
Mailing Address - Fax:
Practice Address - Street 1:19490 SANDRIDGE WAY STE 140
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176-3467
Practice Address - Country:US
Practice Address - Phone:571-293-1087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal