Provider Demographics
NPI:1306933627
Name:DAYAL, JAYESH (MD)
Entity type:Individual
Prefix:DR
First Name:JAYESH
Middle Name:
Last Name:DAYAL
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 1:15001 SHADY GROVE ROAD SUITE 120
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6352
Mailing Address - Country:US
Mailing Address - Phone:301-251-0070
Mailing Address - Fax:301-251-0071
Practice Address - Street 1:15001 SHADY GROVE ROAD SUITE 120
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6352
Practice Address - Country:US
Practice Address - Phone:301-251-0070
Practice Address - Fax:301-251-0071
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0044144207L00000X, 207LC0200X, 207LP2900X
VA0101050237207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD588891300Medicaid
MD003213Medicare ID - Type Unspecified