Dr. Supriya Jain
Pediatric Allergist
3023 Hamaker Ct Ste 300
Fairfax
, Virginia 22031-2240
Dr. Supriya Jain
Pediatric Allergist
3023 Hamaker Ct Ste 300
Fairfax
, Virginia 22031-2240
(516) 562-0100
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About
Features
Specialties
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Dr. Supriya Jain
- 300 Community Dr
- Manhasset, NY
- Zip : 11030-3816
- Phone : (516) 562-0100
Second Address
- Dr. Supriya Jain
- 3023 Hamaker Ct Ste 300
- Fairfax, VA
- Zip : 22031-2240
- Phone : (703) 876-2788
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0201X | Pediatric Allergist | 0101264109 | VA |
National Provider Identifier
| NPI | 1528300910 |
|---|---|
| Provider Name | Dr. Supriya Jain |
| First Address | Manhasset, NY 11030-3816 |
| Second Address | Fairfax, VA 22031-2240 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2013 |
| Last Update Date | 29/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| PENDING | (05) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.