Provider Demographics
NPI:1134384951
Name:AMRUTHLAL JAIN, SACHIN KUMAR (MD)
Entity type:Individual
Prefix:
First Name:SACHIN KUMAR
Middle Name:
Last Name:AMRUTHLAL 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 1:944 N BROADWAY STE 106
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1315
Mailing Address - Country:US
Mailing Address - Phone:917-942-8825
Mailing Address - Fax:917-979-8170
Practice Address - Street 1:944 N BROADWAY STE 106
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1315
Practice Address - Country:US
Practice Address - Phone:917-942-8825
Practice Address - Fax:917-979-8170
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY290388207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease