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Dr. Supriya Jain, MD
Pediatric Allergy/Immunology Physician in Fairfax, Virginia
NPI 1528300910

Supriya Jain is a Pediatric Allergy/Immunology Physician based in Manhasset, VA and is specialized in Pediatric Allergy/Immunology. Supriya Jain practices in Fairfax, VA and has the professional credentials of MD. The NPI Number for Supriya Jain is 1528300910 and holds a License No. (Virginia).

The current practice location address for Supriya Jain is 3023 Hamaker Ct Ste 300, Fairfax, VA and can be reached out via phone at 703-876-2788.

Location: 3023 Hamaker Ct Ste 300, Fairfax, VA, 11030-3816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528300910
Provider Name
Supriya Jain
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3023 Hamaker Ct Ste 300, Fairfax, VA, 11030-3816
Phone Number
703-876-2788
Fax Number
Provider Enumeration Date
03/23/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 VA
institution
Provider Business Practice Location Address Details
Address
3023 Hamaker Ct Ste 300
City
Fairfax
State
Virginia
Zip
22031-2240
Phone Number
703-876-2788
Fax Number
person
Provider Business Mailing Address Details
Address
3023 Hamaker Ct Ste 300
City
Fairfax
State
Virginia
Zip
22031-2240
Phone Number
703-876-2788
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Allergy/Immunology
Taxonomy
2080P0201X
License No.
0101264109 (Virginia)
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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