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Individual
SANDEEP JAIN
Active
Individual
SANDEEP JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
154343
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0738235-005
CIGNA
MA
01
—
154343
TUFTS
MA
05
—
3178897
—
MA
01
—
7718245
AETNA
MA
01
—
J18252
BLUE CROSS
MA
01
—
V763
HARVARD PILGRIM
MA
Enumeration date
05/01/2006
Last updated
11/16/2020
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