Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 40366 | SC |
Y | 207RA0201X | Internist - Allergy & Immunology | DOD80650 | MD |
NPI | 1629224985 |
---|---|
Provider Name | Ms. Sangeeta J Jain |
First Address | Pikesville, MD 21208-7108 |
Second Address | Pikesville, MD 21208-7108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2008 |
Last Update Date | 31/01/2020 |