Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | A104832 | CA |
NPI | 1174707392 |
---|---|
Provider Name | Dr. Anjali Jain |
First Address | San Jose, CA 95148-2075 |
Second Address | San Jose, CA 95148-2075 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/12/2007 |
Last Update Date | 13/08/2014 |