Provider Demographics
NPI:1235246752
Name:JAIN, ARUN KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUN
Middle Name:KUMAR
Last Name:JAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 E. SAN ANTONIO STE 508E
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901
Mailing Address - Country:US
Mailing Address - Phone:361-575-8585
Mailing Address - Fax:361-575-8272
Practice Address - Street 1:605 E. SAN ANTONIO STE 508E
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901
Practice Address - Country:US
Practice Address - Phone:361-575-8585
Practice Address - Fax:361-575-8272
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8086207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine