Individual
DR. SUDHIR K JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5201 MID AMERICA PLZ, DIV IM CARDIOLOGY, STE 2300, SAINT LOUIS, MO 63129-0002
(314) 362-1291
(314) 286-1949
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-1291
(314) 286-1949
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
101411
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205943111
—
MO
Enumeration date
06/15/2006
Last updated
04/17/2025
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