Individual
RAJIV K. JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 399-7484
(304) 399-7579
Mailing address
PO BOX 88, 5 E ALVON ROAD SUITE 7, WHITE SULPHUR SPRINGS, WV 24986-2373
(304) 536-5030
(304) 536-5031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1666
WV
207Q00000X
Family Medicine Physician
34.007367
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1057639
COMPNET
—
05
—
2246724
—
OH
05
—
3002051000
—
WV
01
—
3232099
CIGNA
WV
01
—
63154600
BLACK LUNG
WV
05
—
64040496
—
KY
Enumeration date
01/19/2006
Last updated
03/24/2016
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