Individual
DR. SUNANDA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7000
(701) 530-6536
Mailing address
PO BOX 997, BISMARCK, ND 58502-0997
(701) 530-6500
(701) 530-6536
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
9177
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12377
—
ND
01
—
P00011525
RR MEDICARE
ND
Enumeration date
09/29/2006
Last updated
10/07/2014
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