Jain, Shelly Gupta

Jain, Shelly Gupta is an individual health care provider with primary practice located at 915 Olentangy River Rd , Columbus OH 43212-3153. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Glaucoma Specialist is her primary health care specialty. Jain, Shelly Gupta can be contacted via phone (614) 293-8116.

Contact Information

Primary practice address
915 Olentangy River Rd Columbus OH 43212-3153
Phone: (614) 293-8116
Fax: (614) 293-4719
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35097638 Ohio
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 35097638 Ohio

Profile Details

NPI number 1194928184
LBN Legal business name Jain, Shelly Gupta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Feb 5th, 2021 - about 4 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 1194928184 NPPES
Ohio MEDICAID 0054348

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