Individual
DR. SHARADA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6104 OLD BRANCH AVENUE, TEMPLE HILLS, MD 20748-2518
(301) 702-6100
(301) 702-6366
Mailing address
2101 EAST JEFFERSON STREET, KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101049267
VA
207Q00000X
Family Medicine Physician
Primary
D0041202
MD
207Q00000X
Family Medicine Physician
MD20099
DC
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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