Individual
DR. RAHUL JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-2296
(573) 884-7743
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0068254
MD
207RC0000X
Cardiovascular Disease Physician
2020040971
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
01071122A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
2020040971
MO
208M00000X
Hospitalist Physician
MD459063
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060384
—
OH
05
—
200093348
—
MO
01
—
H076050
MEDICARE PTAN
OH
Enumeration date
06/01/2007
Last updated
02/02/2023
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