Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT199345 | PA |
N | 111NI0900X | Internist | MT199345 | PA |
Y | 207RI0200X | Infectious Disease | 0101259849 | VA |
NPI | 1073807996 |
---|---|
Provider Name | Aabha Jain |
First Address | Annandale, VA 22003-6800 |
Second Address | Annandale, VA 22003-6800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2011 |
Last Update Date | 23/01/2017 |