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Jacob A Ninan, MD
Hematology & Oncology Physician in Alexandria, Virginia
NPI 1427009083

Jacob A Ninan is a Hematology & Oncology Physician based in Fairfax, VA and is specialized in Hematology & Oncology. Jacob A Ninan practices in Alexandria, VA and has the professional credentials of MD. The NPI Number for Jacob A Ninan is 1427009083 and holds a License No. 0101248453 (Virginia).

The current practice location address for Jacob A Ninan is 4660 Kenmore Ave Ste 1018, Alexandria, VA and can be reached out via phone at 703-208-3155 and via fax at 703-823-5723.

Location: 4660 Kenmore Ave Ste 1018, Alexandria, VA, 22031-4618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427009083
Provider Name
Jacob A Ninan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4660 Kenmore Ave Ste 1018, Alexandria, VA, 22031-4618
Phone Number
703-208-3155
Fax Number
703-823-5723
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1427009083 05 VA
institution
Provider Business Practice Location Address Details
Address
4660 Kenmore Ave Ste 1018
City
Alexandria
State
Virginia
Zip
22304-1306
Phone Number
703-208-3155
Fax Number
703-823-5723
person
Provider Business Mailing Address Details
Address
4660 Kenmore Ave Ste 1018
City
Alexandria
State
Virginia
Zip
22304-1306
Phone Number
703-208-3155
Fax Number
703-823-5723
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
0101248453 (Virginia)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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