Provider Demographics
NPI:1649594680
Name:SAINI, JINKAL P (PA-C)
Entity Type:Individual
Prefix:
First Name:JINKAL
Middle Name:P
Last Name:SAINI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JINKAL
Other - Middle Name:P
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:15005 SHADY GROVE ROAD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-294-8525
Mailing Address - Fax:301-294-5919
Practice Address - Street 1:15005 SHADY GROVE ROAD
Practice Address - Street 2:SUITE 130
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-294-8525
Practice Address - Fax:301-294-8525
Is Sole Proprietor?:No
Enumeration Date:2010-03-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110003236363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant