Jain, Poonam M

Jain, Poonam M is an individual health care provider with primary practice located at 1 Jefferson Barracks Dr Bldg 55 , Saint Louis MO 63125-4181. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Jain, Poonam M can be contacted via phone (314) 308-6965.

Contact Information

Primary practice address
1 Jefferson Barracks Dr Bldg 55 Saint Louis MO 63125-4181
Phone: (314) 308-6965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 102417 Missouri
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 102417 Missouri

Profile Details

NPI number 1851446207
LBN Legal business name Jain, Poonam M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated May 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851446207 NPPES
Missouri MEDICAID 206644031

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