Individual
AJAY KUMAR JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5647
(314) 268-2775
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5647
(314) 268-2775
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2008021135
MO
2080P0206X
Pediatric Gastroenterology Physician
Primary
2008021135
MO
Other
Enumeration date
06/17/2009
Last updated
01/12/2021
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