MEDICARE: RASHMI JAIN M D PROFESSIONAL CORPORATION

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	207R00000X	Internal Medicine Physician	C42911	CA
2	207RN0300X	Nephrology Physician	C42911	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487834479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RASHMI JAIN M D PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	1828 EL CAMINO REAL STE 407
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-3115
Country	:	US
Telephone Number	:	650-777-0050
Fax Number	:	650-777-0052

Provider Business Practice Location Address
First Line	:	1828 EL CAMINO REAL STE 407
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-3115
Country	:	US
Telephone Number	:	650-777-0050
Fax Number	:	650-777-0052

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. RASHMI JAIN
Credential	:	MD
Telephone Number	:	650-777-0050

Provider Enumeration Date	:	11/07/2007
Last Update Date	:	11/22/2017

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