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NPI Code Detail

MEDICARE: ANNA JAIN MD

MEDICARE: ANNA 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
1208000000XPediatrics PhysicianMD61123262WA

General Provider Information

NPI Number : 1417336058
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA JAIN MD
Provider Business Mailing Address
First Line : 7600 EVERGREEN WAY
Second Line :
City : EVERETT
State : WA
Zip : 98203-6421
Country : US
Telephone Number : 206-860-5414
Fax Number :
Provider Business Practice Location Address
First Line : 8923 SOPER HILL RD
Second Line :
City : MARYSVILLE
State : WA
Zip : 98270-6882
Country : US
Telephone Number : 425-397-1702
Fax Number : 425-397-1750
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2015
Last Update Date : 05/14/2026

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Directions to “ ANNA JAIN MD” Practice Location

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