NPI 1003827213

Sanjay Jain

Practitioner Internal Medicine Physician Shreveport, LA

Practice location

Address: 510 E Stoner Ave Primary Care (110), Shreveport, LA 71101-4243
Phone: (318) 221-8411
Mailing address: 302 Peach Dr, Shreveport, LA 71106-7635

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 036163 (CT)

Other Internal Medicine providers in Louisiana →

Registry record

NPI: 1003827213
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.