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NPI Code Detail

MEDICARE: PRAGYA JAIN M.D.

MEDICARE: PRAGYA JAIN M.D.
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
1207R00000XInternal Medicine PhysicianA120149CA

General Provider Information

NPI Number : 1053624189
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRAGYA JAIN M.D.
Provider Business Mailing Address
First Line : 1301 SHOREWAY RD STE 100
Second Line :
City : BELMONT
State : CA
Zip : 94002-4110
Country : US
Telephone Number : 650-596-7000
Fax Number : 650-596-7096
Provider Business Practice Location Address
First Line : 1301 SHOREWAY RD STE 100
Second Line :
City : BELMONT
State : CA
Zip : 94002-4110
Country : US
Telephone Number : 650-596-7000
Fax Number : 650-596-7096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2010
Last Update Date : 01/10/2022

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Directions to “ PRAGYA JAIN M.D.” Practice Location

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