Provider Demographics
NPI:1205926656
Name:JIN, TINA ARAM (MD)
Entity type:Individual
Prefix:DR
First Name:TINA
Middle Name:ARAM
Last Name:JIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7618 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2925
Mailing Address - Country:US
Mailing Address - Phone:703-204-0988
Mailing Address - Fax:703-734-2994
Practice Address - Street 1:6723 WHITTIER AVE STE 403
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-4533
Practice Address - Country:US
Practice Address - Phone:703-538-1110
Practice Address - Fax:703-288-4334
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2019-10-30
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Provider Licenses
StateLicense IDTaxonomies
VA01012348332084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCG91372Medicare UPIN