National Provider Identifier
Rajiv Jain, MD
Rajiv Jain, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Tonawanda, NY and a listed phone number of (716) 332-4476.
Profile Overview
- NPI
- 1568436004
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- February 13, 2006
- Last Updated
- January 24, 2013
Practice Location
- 1491 Sheridan Dr
- Tonawanda, NY 14217-1234
Phone: (716) 332-4476
Specialties
- Internal Medicine Physician (207R00000X)
- Sports Medicine (Internal Medicine) Physician (207RS0010X)
Full Record
- NPI
- 1568436004
- Entity Type
- Individual
- Last Name
- Jain
- First Name
- Rajiv
- Credential
- MD
- Mailing Street Address
- 1491 Sheridan Dr
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1234
- Mailing Country
- US
- Mailing Phone
- (716) 332-4476
- Practice Street Address
- 1491 Sheridan Dr
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14217-1234
- Practice Country
- US
- Practice Phone
- (716) 332-4476
- Enumeration Date
- February 13, 2006
- Last Updated
- January 24, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Sports Medicine (Internal Medicine) Physician (207RS0010X)
- Other Identifiers
- 02165277 (NY)