Basic Information
| Provider Information | |||||||||
| NPI: | 1043877301 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JAIN | ||||||||
| FirstName: | SURBHI | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 HAWKINS DR DEPT OF | ||||||||
| Address2: | |||||||||
| City: | IOWA CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 522421009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3193562294 | ||||||||
| FaxNumber: | 3193567533 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 HAWKINS DR DEPT OF | ||||||||
| Address2: | |||||||||
| City: | IOWA CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 522421009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3193562294 | ||||||||
| FaxNumber: | 3193567533 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2019 | ||||||||
| LastUpdateDate: | 05/22/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VB0002X | R-11527 | IA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Bariatric Medicine | 207VC0200X | R-11527 | IA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Critical Care Medicine | 207VE0102X | R-11527 | IA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Reproductive Endocrinology | 207VF0040X | R-11527 | IA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Female Pelvic Medicine and Reconstructive Surgery | 207VG0400X | R-11527 | IA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology | 207VH0002X | R-11527 | IA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Hospice and Palliative Medicine | 207VM0101X | R-11527 | IA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Maternal & Fetal Medicine | 207VX0000X | R-11527 | IA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Obstetrics | 207VX0201X | R-11527 | IA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecologic Oncology | 207V00000X | R-11527 | IA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.