| Shubha M Jain, MD | |
|
11177 Tampa Ave, Suite B, Northridge, CA 91226-2254 | |
| (818) 366-0474 | |
| (818) 474-7530 |
| Full Name | Shubha M Jain |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology - Pain Medicine |
| Location | 11177 Tampa Ave, Northridge, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013958230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | A54399 (California) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | A54399 (California) | Primary |
| Entity Name | Shubha M Jain Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336376763 PECOS PAC ID: 6800942004 Enrollment ID: O20090912000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Shubha M Jain, MD P.o. Box 8000, Northridge, CA 91327-8000 Ph: (818) 366-0474 | Shubha M Jain, MD 11177 Tampa Ave, Suite B, Northridge, CA 91226-2254 Ph: (818) 366-0474 |
Felix Lurye, Anesthesiology Medicare: Medicare Enrolled Practice Location: 18330 Roscoe Blvd, Northridge, CA 91325 Phone: 747-224-4004 | |
Mark Farnum, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-5375 Fax: 818-715-1722 | |
Morris Jagodowicz, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-5375 Fax: 818-715-1722 | |
Dr. Robert Markman, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 18554 Frankfort Street, Northridge, CA 91324 Phone: 818-998-0362 Fax: 818-998-0362 | |
Matthew Bral, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-8500 Fax: 818-715-1722 | |
Steven Cantamout, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 18300 Roscoe Blvd, Northridge, CA 91325 Phone: 818-885-5375 Fax: 818-715-1722 |