Provider Demographics
NPI:1396477618
Name:JAIN, TANYA SHARMA (MBBS)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:SHARMA
Last Name:JAIN
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:TANYA
Other - Middle Name:
Other - Last Name:SHARMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:ADULT PRIMARY CARE AT HARTFORD HOSPITAL
Mailing Address - Street 2:132 JEFFERSON STREET
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106
Mailing Address - Country:US
Mailing Address - Phone:860-972-0200
Mailing Address - Fax:860-545-3149
Practice Address - Street 1:132 JEFFERSON STREET
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106
Practice Address - Country:US
Practice Address - Phone:860-972-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program