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Individual

SHWETA AKASH JAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10401 W THUNDERBIRD BLVD, SUN CITY, AZ 85351-3004
(602) 787-3265
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 876-6965

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35758
AZ
207R00000X
Internal Medicine Physician
LP00764
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132061
AZ
Enumeration date
07/03/2006
Last updated
04/07/2010
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