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Individual
DR. SUSHMA JAIN
Active
Individual
DR. SUSHMA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
228286
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026392001
UNIVERA
NY
05
—
00372225
—
NY
05
—
02394952
—
NY
01
—
2222
BLUE SHIELD GROUP
NY
01
—
MDH612
PREFERRED CARE
NY
01
—
P00013267
RAILROAD MEDICARE
NY
01
—
P101228286
BLUE CHOICE
NY
Enumeration date
07/17/2006
Last updated
07/09/2007
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