| Shubha M Jain Md Inc | |
|
16101 Ventura Blvd Ste 240 Encino CA 91436-2513 | |
| (818) 366-0474 | |
| (818) 360-6319 |
| Full Name | Shubha M Jain Md Inc |
|---|---|
| Speciality | Anesthesiology |
| Location | 16101 Ventura Blvd Ste 240, Encino, California |
| Authorized Official Name and Position | Shubha M Jain (CEO) |
| Authorized Official Contact | 8183660474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shubha M Jain Md Inc Po Box 8000 Northridge CA 91327-8000 Ph: (818) 366-0474 | Shubha M Jain Md Inc 16101 Ventura Blvd Ste 240 Encino CA 91436-2513 Ph: (818) 366-0474 |
| NPI Number | 1336376763 |
|---|---|
| Provider Enumeration Date | 06/11/2009 |
| Last Update Date | 10/17/2019 |
| Medicare PECOS PAC ID | 6800942004 |
|---|---|
| Medicare Enrollment ID | O20090912000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336376763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207L00000X | Anesthesiology | (* (Not Available)) | Primary |
| Provider Name | Shubha M Jain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013958230 PECOS PAC ID: 0244124311 Enrollment ID: I20040210000614 |
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