Provider Demographics
NPI:1245267160
Name:JENA, TRIPTI B (MD)
Entity type:Individual
Prefix:DR
First Name:TRIPTI
Middle Name:B
Last Name:JENA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1201 BROAD ROCK BOULEVARD
Mailing Address - Street 2:HUNTER HOLMES MCGUIRE VA MEDICAL CENTER
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23249
Mailing Address - Country:US
Mailing Address - Phone:804-675-5117
Mailing Address - Fax:804-675-5857
Practice Address - Street 1:1201 BROAD ROCK BOULEVARD
Practice Address - Street 2:MCGUIRE VAMC
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23249
Practice Address - Country:US
Practice Address - Phone:804-675-5117
Practice Address - Fax:804-675-5857
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101031984208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation