Provider Demographics
NPI:1619060126
Name:GHOSH-NARANG, JHUMKA (MD)
Entity Type:Individual
Prefix:DR
First Name:JHUMKA
Middle Name:
Last Name:GHOSH-NARANG
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 1:13135 LEE JACKSON MEM HWY STE 135
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-6041
Mailing Address - Country:US
Mailing Address - Phone:703-961-0488
Mailing Address - Fax:703-961-0480
Practice Address - Street 1:13135 LEE JACKSON MEM HWY STE 135
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-6041
Practice Address - Country:US
Practice Address - Phone:703-961-0488
Practice Address - Fax:703-961-0480
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101268332207RN0300X
AZ44787207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ620161Medicaid
LA1424145Medicaid
H84605Medicare UPIN
LA1424145Medicaid
4F147Medicare PIN