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Individual

KIREN SAVITA JAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2900 WHIPPLE AVENUE, SUITE 100, REDWOOD CITY, CA 94062
(650) 261-2303
(650) 261-2301
Mailing address
PO BOX 742244, LOS ANGELES, CA 90074-2244
(408) 984-7226

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G88160
CA
2085R0202X
Diagnostic Radiology Physician
MD00039747
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1588334582
MEDI-CAL
CA
05
269553
OR
05
807275000
ID
05
8278434
WA
01
AZ150Y
MEDICARE
CA
01
P00163450
RR MEDICARE
WA
Enumeration date
04/10/2006
Last updated
01/30/2018
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