Individual
DR. JYOTI HARSH SUPANEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15941 DONALD CURTIS DR, SUITE 200, WOODBRIDGE, VA 22191-4256
(703) 792-4900
(703) 792-7057
Mailing address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
(703) 792-7800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
010238493
VA
2084P0800X
Psychiatry Physician
MD035927
DC
Other
Enumeration date
01/31/2007
Last updated
12/15/2008
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