Jain, Rajiv
Jain, Rajiv is an individual health care provider with primary practice located at 1491 Sheridan Dr , Tonawanda NY 14217-1234. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jain, Rajiv can be contacted via phone (716) 332-4476.Contact Information
Primary practice address
1491 Sheridan Dr
Tonawanda NY 14217-1234
Phone: (716) 332-4476
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 221199 | New York |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | 221199 | New York |
Profile Details
| NPI number | 1568436004 |
|---|---|
| LBN Legal business name | Jain, Rajiv |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jan 24th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568436004 | NPPES |
| New York | MEDICAID | 02165277 |
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