Jain, Siddharth
Jain, Siddharth is an individual health care provider with primary practice located at 1432 S Dobson Rd Ste 403 , Mesa AZ 85202-4777. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Jain, Siddharth can be contacted via phone (480) 412-7473.Contact Information
Primary practice address
1432 S Dobson Rd Ste 403
Mesa AZ 85202-4777
Phone: (480) 412-7473
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2014012628 | Missouri |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 61086 | Arizona |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 2014012628 | Missouri |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | C1118 | Kentucky |
Profile Details
| NPI number | 1588847529 |
|---|---|
| LBN Legal business name | Jain, Siddharth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2007 |
| Last updated | Dec 20th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588847529 | NPPES |
| Missouri | MEDICAID | 1588847529 | |
| Missouri | MEDICAID | ENROLLED |
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