Provider Demographics
NPI:1619186384
Name:JAIN, DEVINDER KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:DEVINDER
Middle Name:KUMAR
Last Name:JAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4 DUTCHESS DRIVE
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10962-2702
Mailing Address - Country:US
Mailing Address - Phone:845-359-5260
Mailing Address - Fax:845-359-5260
Practice Address - Street 1:4 DUTCHESS DRIVE
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962-2702
Practice Address - Country:US
Practice Address - Phone:845-359-5260
Practice Address - Fax:845-359-5260
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1251062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry