Provider Demographics
NPI:1427173418
Name:JHA, AMITA DEEPAK (MD)
Entity type:Individual
Prefix:MS
First Name:AMITA
Middle Name:DEEPAK
Last Name:JHA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:10215 FERNWOOD ROAD
Mailing Address - Street 2:SUITE 520
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817
Mailing Address - Country:US
Mailing Address - Phone:301-897-0099
Mailing Address - Fax:301-897-8537
Practice Address - Street 1:10215 FERNWOOD ROAD
Practice Address - Street 2:SUITE 520
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817
Practice Address - Country:US
Practice Address - Phone:301-897-0099
Practice Address - Fax:301-897-8537
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MDD00572632084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry