Individual
ANAGHA V JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1150 VETERANS BLVD, NEPHROLOGY DEPT, REDWOOD CITY, CA 94063-2037
(650) 299-4107
(650) 299-3758
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A70147
CA
207RN0300X
Nephrology Physician
Primary
A70147
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A701470
—
CA
Enumeration date
10/12/2006
Last updated
12/20/2021
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