Individual
DR. PAWANKUMAR JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2455 S TELSHOR BLVD, LAS CRUCES, NM 88011-5049
(505) 522-5559
(505) 522-5561
Mailing address
2455 S TELSHOR BLVD, LAS CRUCES, NM 88011-5049
(505) 522-5559
(505) 522-5561
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
9956
NM
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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