Provider Demographics
NPI:1871987701
Name:DAGGUBATI, LEKHAJ CHAND (MD)
Entity type:Individual
Prefix:DR
First Name:LEKHAJ
Middle Name:CHAND
Last Name:DAGGUBATI
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 1:3202 TOWER OAKS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4219
Mailing Address - Country:US
Mailing Address - Phone:301-718-9611
Mailing Address - Fax:301-718-2979
Practice Address - Street 1:8605 WESTWOOD CENTER DR STE 201
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2231
Practice Address - Country:US
Practice Address - Phone:301-718-9611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-28
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0101187207T00000X
390200000X
VA0101279375207T00000X
DCMD210011497207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program