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Individual

ADESH K JAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1051 GAUSE BLVD, SUITE 330, SLIDELL, LA 70458-2951
(985) 847-1090
(985) 646-0862
Mailing address
1051 GAUSE BLVD, SUITE 330, SLIDELL, LA 70458-2951
(985) 847-1090
(985) 646-0862

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
012588
LA
207R00000X
Internal Medicine Physician
14487
MS

Other

Enumeration date
11/15/2005
Last updated
07/08/2007
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