Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 251321 | MA |
N | 111NI0900X | Internist | 251321 | MA |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 326925 | MD |
NPI | 1104053644 |
---|---|
Provider Name | Smita Jha |
First Address | Bethesda, MD 20892-2714 |
Second Address | Bethesda, MD 20892-2714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2009 |
Last Update Date | 21/07/2017 |