Healthcare Provider Details

I. General information

NPI: 1295893741
Provider Name (Legal Business Name): RANJANA JAIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 HAMAKER CT
FAIRFAX VA
22031-2238
US

IV. Provider business mailing address

2128 12TH ST NW
WASHINGTON DC
20009-7514
US

V. Phone/Fax

Practice location:
  • Phone: 703-573-2432
  • Fax: 703-280-9350
Mailing address:
  • Phone: 202-248-6120
  • Fax: 703-280-9350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101233397
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: