Individual
DR. RUCHIKA JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
30 CLUB WAY, HARTSDALE, NY 10530-3615
(248) 888-6947
Mailing address
30 CLUB WAY, HARTSDALE, NY 10530-3615
(248) 888-6947
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301087820
MI
207RI0200X
Infectious Disease Physician
Primary
271585
NY
207RI0200X
Infectious Disease Physician
4301087820
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H208910
BLUE CROSS GROUP
MI
Enumeration date
05/05/2008
Last updated
03/22/2016
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