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General NPI Number Information
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NPI Number | 1558324582
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Entity Type | Individual
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Provider Name | KIREN SAVITA JAIN MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 01/30/2018
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Provider Practice Location Address
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Address Line | 2900 WHIPPLE AVENUE SUITE 100
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City | REDWOOD CITY
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State | CA
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Zip | 94062
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Country | US
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Telephone | 650-261-2303
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Fax | 650-261-2301
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Provider Business Mailing Address
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Address Line | PO BOX 742244
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City | LOS ANGELES
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State | CA
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Zip | 90074-2244
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Country | US
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Telephone | 408-984-7226
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD00039747
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G88160
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License Number State | CA
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