Provider Demographics
NPI:1689426686
Name:JAIN, PAYAL (MD)
Entity Type:Individual
Prefix:
First Name:PAYAL
Middle Name:
Last Name:JAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279, SAKET NAGAR
Mailing Address - Street 2:BEHIND EUREKA HOSPITAL
Mailing Address - City:INDORE
Mailing Address - State:MADHYA PRADESH
Mailing Address - Zip Code:452001
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:FAMILY MEDICINE CENTER
Practice Address - Street 2:7575 GRAND RIVER, SUITE 209
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114
Practice Address - Country:US
Practice Address - Phone:810-844-7950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program