Provider Demographics
NPI:1629224985
Name:JAIN, SANGEETA J (MD)
Entity Type:Individual
Prefix:MS
First Name:SANGEETA
Middle Name:J
Last Name:JAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1838 GREENE TREE RD STE 260
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-7108
Mailing Address - Country:US
Mailing Address - Phone:410-486-2000
Mailing Address - Fax:410-486-0825
Practice Address - Street 1:1838 GREENE TREE RD STE 260
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-7108
Practice Address - Country:US
Practice Address - Phone:410-486-2000
Practice Address - Fax:410-486-0825
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC40366207K00000X
MDDOD80650207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology