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Contact Information

SUPRIYA JAIN, MD
3023 HAMAKER CT STE 300
FAIRFAX, VA22031-2240
 Phone: 703-876-2788
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SUPRIYA JAIN · (Female)

NPI Number 1528300910
Status Active
Credentials MD
Entity Individual
Enumeration date 03/23/2013
Last updated 08/29/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101264109
  • VA Medicaid PENDING
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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