Dr. Kavita S. Jackson M.D. - Emergency Medicine Physician in Silver Spring, Maryland | ProviderWire

Full Name

Dr. Kavita Srivastava Jackson M.D.

NPI Number

1497136600

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/12/2015

Specialties

(Taxonomies)

Name

Emergency Medicine Physician

Student in an Organized Health Care Education/Training Program

Code

207P00000X

390200000X

Primary Taxonomy

Yes

No

Licenses

State

Maryland

Pennsylvania

License Number

D0086968

MT209033

Contact
Information

Purpose

Mailing

Location

Address

1500 FOREST GLEN RD

1500 FOREST GLEN RD DEPT OF

City

Silver Spring

Silver Spring

State

MD

MD

Postal Code

20910-1484

20910-1460

Country

US

US

Telephone Number

(301) 754-7000

(301) 754-7000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/19/2019

Provider Address

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