Provider Demographics
NPI:1629161047
Name:JAIN, RAJUL (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJUL
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:ONE AMGEN CENTER DRIVE
Mailing Address - Street 2:MS 38-2-B
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91320-1799
Mailing Address - Country:US
Mailing Address - Phone:805-447-4805
Mailing Address - Fax:
Practice Address - Street 1:ONE AMGEN CENTER DRIVE
Practice Address - Street 2:MS 38-2-B
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91320-1799
Practice Address - Country:US
Practice Address - Phone:805-447-4805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233019207R00000X
TXL6958207R00000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology