MEDICARE: DR. AJAY 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
1	207L00000X	Anesthesiology Physician	244544	NY
2	207L00000X	Anesthesiology Physician	S8718	TX

General Provider Information

NPI Number	:	1356455240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AJAY JAIN M.D.

Provider Business Mailing Address
First Line	:	2651 KIPLING ST APT 3201
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1993
Country	:	US
Telephone Number	:	214-395-3569
Fax Number	:

Provider Business Practice Location Address
First Line	:	2651 KIPLING ST APT 3201
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1993
Country	:	US
Telephone Number	:	214-395-3569
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	04/24/2024

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Directions to “ DR. AJAY JAIN M.D.” Practice Location

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