Dr. Supriya Jain
M.D. | Pediatric Allergy-Immunology | Female
Dr. Supriya Jain, M.D. is a Fairfax, Virginia based Pediatric doctor with medical specialization in
Pediatric Allergy-Immunology.
Current practice location of Dr. Supriya Jain is
3023 Hamaker Ct Ste 300, Fairfax, Virginia - 22031-2240. She can be contacted on phone at
703-876-2788.
Dr. Supriya Jain is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Supriya Jain is
1528300910 which was assigned by NPPES on 23 Mar, 2013 and it was last updated on 29 Aug, 2018.
Dr. Supriya Jain license number is
0101264109 for Pediatrics Pediatric Allergy/Immunology (2080P0201X) in Virginia.
Dr. Supriya Jain specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
Dr. Supriya Jain basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Allergy/Immunology |
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| Provider Name : | Dr. Supriya Jain |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Supriya Jain address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3023 Hamaker Ct Ste 300
Fairfax, VA, 22031-2240
United States |
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| Phone Number : | 703-876-2788 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1528300910 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Mar, 2013 |
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| Last Updated On : | 29 Aug, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Supriya Jain are as mentioned. Primary taxonomy code for Dr. Supriya Jain, M.D. is
2080P0201X (Pediatrics Pediatric Allergy/Immunology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | Yes | 0101264109 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Supriya Jain such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| PENDING | MEDICAID | VA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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300 COMMUNITY DR,
MANHASSET, NY, 11030-3816
United States | MANHASSET, NY | 516-562-0100 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 Community Dr
Manhasset, NY, 11030-3816
United States |
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| Phone Number : | 516-562-0100 |
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Business Location:
Patients can refer following map for directions to
Dr. Supriya Jain practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.