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NPI Code Detail

MEDICARE: DR. KUNAL SUDHIR JAIN MD

MEDICARE: DR. KUNAL SUDHIR JAIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology PhysicianQ5440TX

General Provider Information

NPI Number : 1033344387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KUNAL SUDHIR JAIN MD
Provider Business Mailing Address
First Line : 6431 FANNIN STREET
Second Line : MSB 5.036
City : HOUSTON
State : TX
Zip : 77030
Country : US
Telephone Number : 713-500-6636
Fax Number :
Provider Business Practice Location Address
First Line : 6400 FANNIN ST STE 2700
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1539
Country : US
Telephone Number : 713-486-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2009
Last Update Date : 07/17/2020

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