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NPI Code Detail

MEDICARE: SAMEER JAIN M.D

MEDICARE: SAMEER 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
12084N0400XNeurology PhysicianMD461254PA
2208VP0014XInterventional Pain Medicine PhysicianE11173AR

General Provider Information

NPI Number : 1932548344
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMEER JAIN M.D
Provider Business Mailing Address
First Line : 408 OFFICE PARK DR STE 3
Second Line :
City : BRYANT
State : AR
Zip : 72022-7536
Country : US
Telephone Number : 501-553-0000
Fax Number : 501-600-4781
Provider Business Practice Location Address
First Line : 408 OFFICE PARK DR STE 3
Second Line :
City : BRYANT
State : AR
Zip : 72022-7536
Country : US
Telephone Number : 501-553-0000
Fax Number : 501-600-4781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2013
Last Update Date : 03/17/2025

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