Individual
SAMIR JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 TWIN SPRINGS RD, HALETHORPE, MD 21227-3553
(410) 737-5000
Mailing address
12119 HAYLAND FARM WAY, ELLICOTT CITY, MD 21042-6014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0061832
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108285
JOHNS HOPKINS HEALTH CARE
MD
01
—
3763900
AETNA HMO
MD
05
—
406338400
—
MD
01
—
5234
BRAVO/ELDER HEALTH
MD
01
—
6106139
CIGNA
MD
01
—
64359802
CARE FIRST BLUE CROSS
MD
01
—
7931659
AETNA PPO
MD
01
—
F551-0010
CARE FIRST BLUE CROSS
DC
Enumeration date
10/24/2005
Last updated
11/17/2021
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