Individual
SHAKUNTALA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
444 N 44TH ST, #400, PHOENIX, AZ 85008-7624
(602) 685-3846
(602) 685-3808
Mailing address
444 N 44TH ST, #400, PHOENIX, AZ 85008-7624
(602) 685-3846
(602) 685-3808
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30006
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
738049
—
AZ
Enumeration date
11/02/2006
Last updated
07/08/2007
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