Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD456819 | PA |
N | 207Q00000X | Family Doctor | MT203409 | PA |
NPI | 1003250697 |
---|---|
Provider Name | Dr. Sahil Jain |
First Address | Brampton, ONTARIO L6X0V2 |
Second Address | York, PA 17403-3676 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2013 |
Last Update Date | 01/08/2016 |