Individual
SANDEEP KUMAR JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST APC MAIN, PROVIDENCE, RI 02903-4923
(401) 444-5435
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD18566
RI
390200000X
Student in an Organized Health Care Education/Training Program
MD18566
RI
Other
Enumeration date
03/20/2018
Last updated
07/31/2025
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