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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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 1568436004 NPPES
New York MEDICAID 02165277

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