Most Relevant Information
Provider Data
| NPI Number: | 1003827213 |
| Provider Name: | SANJAY JAIN |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 036163 |
Most Important Dates
| Enumeration Date: | 08/11/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
510 E STONER AVE
PRIMARY CARE (110)
SHREVEPORT
LA
711014243
Practice Location Phone/Fax
| Phone: | 3182218411 |
| Fax: |
Provider Mailing Location
302 PEACH DR
SHREVEPORT
LA
711067635
Provider Mailing Phone/Fax
| Phone: | 3187981131 |
| Fax: |
Suggested EMR
Internist EMR