Individual
NEAL JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4915 E BASELINE RD, SUITE 112, GILBERT, AZ 85234-2966
(480) 626-6600
(480) 626-6604
Mailing address
4915 E BASELINE RD, SUITE 112, GILBERT, AZ 85234-2965
(480) 626-6600
(480) 626-6604
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
42305
AZ
207K00000X
Allergy & Immunology Physician
46685-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34556400
—
WI
01
—
60229
DEAN HEALTH INSURANCE
WI
Enumeration date
05/08/2006
Last updated
01/19/2011
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