Provider Demographics
NPI:1871507830
Name:JAIN, RASHMI (MD)
Entity Type:Individual
Prefix:
First Name:RASHMI
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 1:82 WESTON
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-2190
Mailing Address - Country:US
Mailing Address - Phone:817-564-5750
Mailing Address - Fax:817-612-3268
Practice Address - Street 1:82 WESTON
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-2190
Practice Address - Country:US
Practice Address - Phone:817-564-5750
Practice Address - Fax:817-612-3268
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA87620208000000X
TXM4538208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
1750369203OtherGROUP NPI NUMBER