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NPI Code Detail

MEDICARE: DR. SHILPA HARISH JAIN M.D.

MEDICARE: DR. SHILPA HARISH 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
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianA107201CA

General Provider Information

NPI Number : 1851369847
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHILPA HARISH JAIN M.D.
Provider Business Mailing Address
First Line : 1013 CASTRO ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94114-3211
Country : US
Telephone Number : 415-972-9697
Fax Number : 650-849-0492
Provider Business Practice Location Address
First Line : 3801 MIRANDA AVE
Second Line : MAIL CODE 111/ENDO
City : PALO ALTO
State : CA
Zip : 94304-1207
Country : US
Telephone Number : 650-493-5000
Fax Number : 650-849-0492
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 12/02/2013

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