Amita Jha MD LLC
Psychiatry & Neurology, Psychiatry in Rockville, MD. Organization (NPI-2).
NPI number1992467740
StatusActive
Last updated in NPPESOct 8, 2021
Details
- NPI
- 1992467740
- Entity type
- Organization (NPI-2)
- Legal business name
- Amita Jha MD LLC
- Organization subpart
- No
- Enumeration date
- Oct 8, 2021
- Certification date
- Oct 8, 2021
- Last updated
- Oct 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – |
Practice location
6247 Executive BlvdRockville, MD 20852-3906
Phone 301-468-1001 · Fax 833-427-1388
Mailing address
6247 Executive BlvdRockville, MD 20852-3906
Phone 301-468-1001 · Fax 833-427-1388
Authorized official
Amita Jha
Owner
3012375353
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