Provider Demographics
NPI:1780680470
Name:JAIN, ASHOK (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHOK
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:PO BOX 18904
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-8904
Mailing Address - Country:US
Mailing Address - Phone:281-750-2781
Mailing Address - Fax:281-786-3370
Practice Address - Street 1:1201 CREEK WAY DR
Practice Address - Street 2:SUITE C
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4569
Practice Address - Country:US
Practice Address - Phone:281-750-2781
Practice Address - Fax:281-786-3370
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4194282084P0800X
TXK14832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J6442OtherPROVIDER
TXG59971Medicare UPIN
PA072692Medicare ID - Type Unspecified