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Organization
RAJENDRA K JAIN UROLOGY INC
Active
Organization
RAJENDRA K JAIN UROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJENDRA KUMAR JAIN MD (MD)
(304) 525-7716
Entity
Organization
Contact information
Practice address
2828 FIRST AVE SUITE 204, HUNTINGTON, WV 25702
(304) 525-7716
(304) 525-7717
Mailing address
2828 FIRST AVE SUITE 204, HUNTINGTON, WV 25702
(304) 525-7716
(304) 525-7717
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
WV11477
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130577000
—
WV
01
—
0380387
OH MEDICAID
OH
Enumeration date
02/22/2007
Last updated
08/22/2020
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