Provider Demographics
NPI:1417968140
Name:JINNAT, HOSNEARA (MD)
Entity Type:Individual
Prefix:
First Name:HOSNEARA
Middle Name:
Last Name:JINNAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8115 266TH ST
Mailing Address - Street 2:
Mailing Address - City:GLEN OAKS
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1538
Mailing Address - Country:US
Mailing Address - Phone:718-801-3072
Mailing Address - Fax:
Practice Address - Street 1:3743 76TH ST
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6533
Practice Address - Country:US
Practice Address - Phone:718-779-8963
Practice Address - Fax:718-779-8970
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240846207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1C186ET631Medicare PIN