Individual
DR. DEEPAK JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
THE MOUNT SINAI HOSPITAL, 1470 MADISION AVE, NEW YORK CITY, NY 10029
(212) 824-9414
Mailing address
205 E 95TH ST APT 34G, NEW YORK, NY 10128-4076
(267) 808-7538
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
332694
NY
390200000X
Student in an Organized Health Care Education/Training Program
P115193
NY
Other
Enumeration date
08/11/2022
Last updated
10/13/2024
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