Provider Demographics
NPI:1073003190
Name:SACHIN KUMAR AMRUTHLAL JAIN CARDIOVASCULAR P.C.
Entity Type:Organization
Organization Name:SACHIN KUMAR AMRUTHLAL JAIN CARDIOVASCULAR P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SACHIN KUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AMRUTHLAL JAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-961-1758
Mailing Address - Street 1:401 E 80TH ST APT 26A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0653
Mailing Address - Country:US
Mailing Address - Phone:248-961-1758
Mailing Address - Fax:917-979-8170
Practice Address - Street 1:944 N BROADWAY STE 106
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1315
Practice Address - Country:US
Practice Address - Phone:917-942-8825
Practice Address - Fax:917-979-8170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY290388-1207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty