Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | R-11527 | IA |
N | 207VE0102X | Reproductive Endocrinologist | R-11527 | IA |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | R-11527 | IA |
N | 207VG0400X | Gynecologist | R-11527 | IA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | R-11527 | IA |
N | 207VX0000X | Obstetrician | R-11527 | IA |
N | 207VX0201X | Gynecologic Oncologist | R-11527 | IA |
NPI | 1043877301 |
---|---|
Provider Name | Surbhi Jain |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2019 |
Last Update Date | 22/05/2019 |