Provider Demographics
NPI:1407172596
Name:JAIN, SHEETU (MD)
Entity Type:Individual
Prefix:MR
First Name:SHEETU
Middle Name:
Last Name:JAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1994 GALLATIN PIKE NORTH #102
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-2024
Mailing Address - Country:US
Mailing Address - Phone:615-851-0001
Mailing Address - Fax:615-851-0021
Practice Address - Street 1:391 WALLACE RD.
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211
Practice Address - Country:US
Practice Address - Phone:615-851-0001
Practice Address - Fax:615-851-0021
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN49910207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology