Individual
DR. SANJAY RAJ JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PHD
Contact information
Practice address
34 UPPER RIVERDALE RD SE, SUITE 200, RIVERDALE, GA 30274-2635
(770) 996-0622
(770) 996-1492
Mailing address
34 UPPER RIVERDALE RD SE, SUITE 200, RIVERDALE, GA 30274-2635
(770) 996-0622
(770) 996-1492
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
047455
GA
207RH0003X
Hematology & Oncology Physician
227047
MA
Other
Enumeration date
06/12/2006
Last updated
06/18/2013
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