Provider Demographics
NPI:1770680886
Name:JAIN, KAMALA B (MD)
Entity Type:Individual
Prefix:DR
First Name:KAMALA
Middle Name:B
Last Name:JAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1660 S COLUMBIAN WAY
Mailing Address - Street 2:S-111-GIMC
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1532
Mailing Address - Country:US
Mailing Address - Phone:206-277-1411
Mailing Address - Fax:206-764-2936
Practice Address - Street 1:1660 S COLUMBIAN WAY
Practice Address - Street 2:S-111-GIMC
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1532
Practice Address - Country:US
Practice Address - Phone:206-277-1411
Practice Address - Fax:206-764-2936
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00038049207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine