Individual
DR. KAMLA TERESE JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
309 S SHARON AMITY RD, SUITE 100, CHARLOTTE, NC 28211-2978
(704) 446-2360
(704) 366-3746
Mailing address
ASU STUDENT HEALTH CENTER, 614 HOWARD STREET, MILES ANNAS BLDG, BOONE, NC 28608
(704) 446-2360
(704) 366-3746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000-00471
NC
207Q00000X
Family Medicine Physician
200000471
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106165
UNITED HEALTH CARE
NC
01
—
12545
BLUE CROSS BLUE SHIELD
NC
01
—
6833648
CIGNA
NC
05
—
8912545
—
NC
Enumeration date
11/07/2006
Last updated
09/29/2023
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