Gezzer Ortega, MD graduated from Howard University College of Medicine in Washington, DC and specializes in general surgery. Recently, Dr. Ortega has completed his Master of Public Health degree at Johns Hopkins University, Bloomberg School of Public Health with a concentration in Epidemiologic and Bio-statistical Methods for Clinical Research. Dr. Ortega plans to pursue a career as a pediatric academic surgeon. His hobbies include spending time with family and traveling.


Dr. Subash Duggirala is a highly skilled physician with vast clinical and management experience. He has practiced as a physician in Primary Care, Occupational Medicine, Pain Management and Cosmetic Medicine for more than 25 years. Dr. Duggirala completed medical school at S.C.B Medical College and then continued his education to earn a Master of Public Health (MPH) degree from University of Washington, Seattle. He then completed two residency programs at the University of Washington, Seattle in Preventive Medicine and Family and Community Medicine in BHU. In addition, Dr. Duggirala has completed specialty board certifications in Preventive Medicine, Pain Management, and Quality Management.

Dr. Duggirala performs a wide range of cosmetic procedures to patients at Jivana Care. Please see Jivana Care’s Cosmetic Medical Clinic page for a list of services performed by Dr. Subash Duggirala and his team.

In his professional career, Dr. Duggirala also worked as a Physician Advisor for the Center for Medicare and Medicaid Service, Department of Health and Human Services (HHS) for more than 12 years reporting on topics such as Clinical Care Quality, Clinical care Review, Disease Management, Utilization Review, Medical Staff Affairs and, Health Policy & Benefits Management.

Ann Ruffalo

Ann Ruffalo “Annie” is a Physician Assistant with experience in Internal Medicine and Urgent Care who is a transplant from the Midwest. She did her undergraduate work at Grinnell College in Grinnell, Iowa before obtaining a Masters in Microbiology at the University of Missouri-Columbia. She completed the Physician Assistant program at the University of Iowa in 2010, and between 2010 to 2014, she took care of patients in Ottumwa, Iowa. In 2015 she moved to the Silver Spring, Maryland area and began practicing in Internal Medicine and Urgent Care.
Her interests include chronic conditions like Diabetes and Hypertension as well as culturally competent LGBT care.  She is excited to join the Jivana Care team.

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